NPI 1003014051

Jeffrey Alan Jackson, OD

Practitioner Optometrist Casa Grande, AZ

Practice location

Address: 560 N Camino Mercado STE 1, Casa Grande, AZ 85122-5759
Phone: (520) 426-9224
Fax: (520) 426-1554
Mailing address: 4800 N 22nd St STE 210, Phoenix, AZ 85016-4963

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT-001578 (AZ)

Other Optometrist providers in Arizona →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1578 (AZ)

Registry record

NPI: 1003014051
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2007
Record last updated: 17 Nov 2021

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.