Jackson INC

NPI #1457377418 in Speedway, Indiana

Provider Information

NPI Number: 1457377418
Entity Type: Organization
Organization Name: Jackson INC
Primary Specialty: Optometrist
Enumeration Date: Jul 14, 2006
Last Updated: Feb 21, 2013

Practice Location

Address: 5620 A CRAWFORDSVILLE RD
City: Speedway
State: Indiana
ZIP Code: 46224
Phone: (317) 243-5423

Authorized Official

Name: DR. ALISSA D JACKSON, OD
Title: OPTOMETRIST
Phone: (317) 577-9897

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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