Dr. Jason Fort
Optometrist
307 Geri St
Lawrenceburg
, Tennessee 38464-2361
Dr. Jason Fort
Optometrist
307 Geri St
Lawrenceburg
, Tennessee 38464-2361
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Jason Fort
- 305 Geri St
- Lawrenceburg, TN
- Zip : 38464-2361
- Phone :
Second Address
- Dr. Jason Fort
- 307 Geri St
- Lawrenceburg, TN
- Zip : 38464-2361
- Fax : (931) 762-2626
- Phone : (931) 762-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3536 | TN |
National Provider Identifier
| NPI | 1013575273 |
|---|---|
| Provider Name | Dr. Jason Fort |
| First Address | Lawrenceburg, TN 38464-2361 |
| Second Address | Lawrenceburg, TN 38464-2361 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2019 |
| Last Update Date | 27/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.