Jackson Eye Care, INC
Optometrist in Cedar City, UT. Organization (NPI-2).
NPI number1114100740
StatusActive
Last updated in NPPESFeb 11, 2008
Details
- NPI
- 1114100740
- Entity type
- Organization (NPI-2)
- Legal business name
- Jackson Eye Care, INC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2007
- Last updated
- Feb 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 375344-9934 | UT | Yes |
Other names
- Barry Jackson Od (Doing Business As)
Practice location
51 E 400 NSuite 4a
Cedar City, UT 84720-2686
Phone 435-586-1500 · Fax 435-865-0784
Mailing address
Po Box 1574Cedar City, UT 84721-1574
Phone 435-586-1500 · Fax 435-865-0784
Authorized official
Russell B Jackson
Owner Operator
4355861500
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