| NPI | 1497071625 |
|---|---|
| Other Name | DR. M.E. JACKSON O.D., P.C. |
| Entity Type | Organization |
| Authorized Contact | MELVIN EUGENE JACKSON Doctor/ Sole Owner 757-464-5842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000174) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |