| NPI | 1831316090 |
|---|---|
| Doing Business As | JACKSON EYE CARE |
| Entity Type | Organization |
| Authorized Contact | MARK D JACKSON Pres 970-224-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2187) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |