DR. Kreyton Dirk Jackson, O.D.

NPI #1982915203 in Ontario, Oregon

Provider Information

NPI Number: 1982915203
Entity Type: Individual
Name: DR. Kreyton Dirk Jackson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 1, 2010
Last Updated: Jul 1, 2010

Practice Location

Address: 279 SW 10TH ST
City: Ontario
State: Oregon
ZIP Code: 97914-2135
Phone: (541) 889-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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