Jason Hull OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JASON HULL OD LLC

Practice address

45 Williamson Rd
Greenville, PA 16125-1253

Phone

(724) 589-0234

NPI assigned

Sep 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Hull, ODNPI 1790865665

Title

Optometrist

Phone

(724) 822-7911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jason Hull OD & Associates Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Wayne Hull

  • Optometrist
  • Erie, PA
  • NPI 1790865665
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1699324400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 HENDERSONVILLE RD",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "161453419",
            "telephone_number": "724-822-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WILLIAMSON RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251253",
            "telephone_number": "724-589-0234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Washington Towne Blvd N",
            "address_purpose": "LOCATION",
            "city": "Edinboro",
            "state": "PA",
            "postal_code": "164121254",
            "country_code": "US",
            "telephone_number": "814-734-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JASON HULL OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "724-822-7911",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076166690001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jasonhullod@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "45 Williamson Rd",
            "city": "Greenville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "161251253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jason Hull OD & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Hruska, COTA/L
• Lisa Renee Huffman
• Mary Irvine
• Alexis Elaine Ishman, OTR/L
• Susan S Jackson, CRNP
• Christian T Jeffries, DMD
• Erin Jenkins
• Michael J Jewell, PTA
• John a Reimold Jr OD PC
• John F. Steele MD PC

• Optometrist in Greenville, PA
• Providers in Greenville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.