Jackson Eye Care, INC

NPI #1912181967 in Fillmore, Utah

Provider Information

NPI Number: 1912181967
Entity Type: Organization
Organization Name: Jackson Eye Care, INC
Primary Specialty: Optometrist
Enumeration Date: Dec 27, 2007
Last Updated: Dec 27, 2007

Practice Location

Address: 210 S 100 W
City: Fillmore
State: Utah
ZIP Code: 84631
Phone: (435) 743-6572

Authorized Official

Name: RUSSELL B JACKSON, OD
Title: OWNER OPERATOR
Phone: (435) 743-6572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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