Provider Demographics
NPI:1851367817
Name:MORAN, JASON PATRICK (OD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:PATRICK
Last Name:MORAN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:8040 SAINT CHARLES AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2747
Practice Address - Country:US
Practice Address - Phone:504-866-6311
Practice Address - Fax:504-866-8217
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2025-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA2058-005AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist