Russell B Jackson, OD

NPI #1922008663 in Fillmore, Utah

Provider Information

NPI Number: 1922008663
Entity Type: Individual
Name: Russell B Jackson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 22, 2005
Last Updated: Dec 5, 2007

Practice Location

Address: 210 S 100 E
City: Fillmore
State: Utah
ZIP Code: 84631-2500
Phone: (435) 743-6572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Jackson Eye Care, INC	Optometrist	Fillmore	AI Deep Dive

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