Maurice Jackson, OD

NPI #1184390296 in Fresno, California

Provider Information

NPI Number: 1184390296
Entity Type: Individual
Name: Maurice Jackson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 18, 2021
Last Updated: Apr 18, 2022

Practice Location

Address: 4983 N BLACKSTONE AVE
City: Fresno
State: California
ZIP Code: 93726-0109
Phone: (559) 229-7955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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