| NPI | 1912004557 |
|---|---|
| Doing Business As | DBA JACKSON & BAALMAN, DOCTORS OF OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | RONALD MORRIS JACKSON President 316-722-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 0982-3) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1293-3) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2012-03-30 |