Provider Demographics
NPI:1548489842
Name:BELL, JASON (MD, PHD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7527 STATE RD STE A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-6408
Mailing Address - Country:US
Mailing Address - Phone:513-232-5550
Mailing Address - Fax:513-232-3510
Practice Address - Street 1:7527 STATE RD STE A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-6408
Practice Address - Country:US
Practice Address - Phone:513-232-5550
Practice Address - Fax:513-232-3510
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57010087207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2963299Medicaid
OH4273621Medicare PIN