Jackson Eye Care, INC

NPI #1114100740 in Cedar City, Utah

Provider Information

NPI Number: 1114100740
Entity Type: Organization
Organization Name: Jackson Eye Care, INC
Primary Specialty: Optometrist
Enumeration Date: Dec 5, 2007
Last Updated: Feb 11, 2008

Practice Location

Address: 51 E 400 N
Address 2: SUITE 4A
City: Cedar City
State: Utah
ZIP Code: 84720-2686
Phone: (435) 586-1500

Authorized Official

Name: DR. RUSSELL B JACKSON, OD
Title: OWNER OPERATOR
Phone: (435) 586-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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