MR. Joseph Barry Jackson, OD

NPI #1649352691 in Peru, Illinois

Provider Information

NPI Number: 1649352691
Entity Type: Individual
Name: MR. Joseph Barry Jackson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 19, 2006
Last Updated: Jan 8, 2014

Practice Location

Address: 3323 FRONTAGE RD
City: Peru
State: Illinois
ZIP Code: 61354-1101
Phone: (815) 220-0652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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