NPI 1194883017

Drs Jackson & Lee, INC

Organisation Optometrist Federal Way, WA

Practice location

Address: 28815 Pacific Hwy S Suite 2, Federal Way, WA 98003-3906
Phone: (253) 941-7074
Fax: (253) 941-5079

Authorised official

Name: Duane L Jackson
Title: Owner
Phone: (253) 941-7074

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD00002095 (WA)

Other Optometrist providers in Washington →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD00002039 (WA)

Registry record

NPI: 1194883017
Entity type: Organization
NPI issued: 4 Dec 2006
Record last updated: 4 Jun 2019

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.