Chad J. Jackson, Od, Pllc

NPI #1477730919 in Rockford, Michigan

Provider Information

NPI Number: 1477730919
Entity Type: Organization
Organization Name: Chad J. Jackson, Od, Pllc
Primary Specialty: Optometrist
Enumeration Date: Jan 28, 2008
Last Updated: Nov 26, 2018

Practice Location

Address: 6575 BELDING RD NE
Address 2: SUITE D
City: Rockford
State: Michigan
ZIP Code: 49341-7418
Phone: (616) 874-2020

Authorized Official

Name: DR. CHAD J. JACKSON, OD
Title: SOLE MEMBER/OWNER
Phone: (616) 874-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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