NPI 1093005183

Dr Mija Jackson Lee PLLC

Organisation Optometrist Duncanville, TX

Practice location

Address: 250 W Highway 67, Duncanville, TX 75137-4415
Phone: (972) 572-9555
Fax: (972) 572-5505

Authorised official

Name: Mija Jackson Lee
Title: Owner
Phone: (972) 572-9555

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 6034 TG (TX)

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Registry record

NPI: 1093005183
Entity type: Organization
NPI issued: 11 Apr 2011
Record last updated: 11 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.