DR. JASON WAYNE HULL NPI 1790865665

NPI Information

NPI: 1790865665
Provider Name: DR. JASON WAYNE HULL
Classification: Optometrist - 152W00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 200 MILLCREEK PLZ
ERIE, PA
ZIP 16565
Phone: (814) 864-4858

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NPI Details

DR. Jason Wayne Hull is an optometrist in Erie, PA with 27 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Jason Wayne Hull NPI is 1790865665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:1998

The provider's business location address is:

200 MILLCREEK PLZ
ERIE, PA
ZIP 16565-102
Phone: (814) 864-4858
Fax: (814) 864-0398

The NPI 1790865665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/16/2006 and was last updated on 6/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		PA OEG000291	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	029089R8W	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	397164	OTHER	PENNSYLVANIA	NAT'L VISION ADMIN (NVA)
3	U76113	MEDICARE UPIN	PENNSYLVANIA
4	376280	OTHER	PENNSYLVANIA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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