DR. Michael Wayne Jackson, O.D.
NPI #1174593388 in Oakland, California
Provider Information
- NPI Number
- 1174593388
- Entity Type
- Individual
- Name
- DR. Michael Wayne Jackson, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jan 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1741 BROADWAY
- City
- Oakland
- State
- California
- ZIP Code
- 94612-2105
- Phone
- (510) 835-8344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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