NPI | 1396878328 |
---|---|
Doing Business As | JACKSON EYE CARE |
Entity Type | Organization |
Authorized Contact | MARK D JACKSON President 970-224-0606 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2187) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2012-10-22 |