| NPI | 1043349467 | 
|---|---|
| Doing Business As | JACKSON VISION | 
| Entity Type | Organization | 
| Authorized Contact | STEVEN G JOHNSON Optometrist 517-782-4300  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003631)  | 
| Enumeration Date | 2007-03-02 | 
| Last Update Date | 2014-04-16 |