| 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 |