Dr. M.e. Jackson Optometrist PC
NPI #1497071625 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1497071625
- Entity Type
- Organization
- Organization Name
- Dr. M.e. Jackson Optometrist PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Apr 13, 2010
- Last Updated
- Apr 13, 2010
Practice Location
- Address
- 4642 HAYGOOD RD
- Address 2
- SUITE 1
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23455-5436
- Phone
- (757) 464-5842
Authorized Official
- Name
- DR. MELVIN EUGENE JACKSON, O.D.
- Title
- DOCTOR/ SOLE OWNER
- Phone
- (757) 464-5842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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