Jackson Family Eye Care, LLC

NPI #1235534207 in Fairburn, Georgia

Provider Information

NPI Number: 1235534207
Entity Type: Organization
Organization Name: Jackson Family Eye Care, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 3, 2014
Last Updated: Mar 27, 2015

Practice Location

Address: 5370 CAMPBELLTON FAIRBURN RD
Address 2: 410
City: Fairburn
State: Georgia
ZIP Code: 30213-2296
Phone: (972) 689-6722

Authorized Official

Name: DR. DANIELLE NICOLE JACKSON, OD
Title: OWNER/ OPTOMETRIST
Phone: (972) 689-6722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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