Justin Jackman, OD

NPI #1982046967 in Odessa, Texas

Provider Information

NPI Number: 1982046967
Entity Type: Individual
Name: Justin Jackman, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 19, 2013
Last Updated: Jul 19, 2013

Practice Location

Address: 4015 PENBROOK ST
City: Odessa
State: Texas
ZIP Code: 79762-5917
Phone: (432) 362-3133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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