Trichelle Mae Jackson, O.D.

NPI #1720347644 in Forest City, Iowa

Provider Information

NPI Number: 1720347644
Entity Type: Individual
Name: Trichelle Mae Jackson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 12, 2012
Last Updated: Feb 22, 2013

Practice Location

Address: 139 E K ST
City: Forest City
State: Iowa
ZIP Code: 50436-1501
Phone: (641) 585-3590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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