NPI 1023015005

Mark D Jackson, OD

Practitioner Optometrist Fort Collins, CO

Practice location

Address: 1250 E Magnolia St, Fort Collins, CO 80524-2702
Phone: (970) 224-0606
Fax: (970) 493-9309

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2187 (CO)

Other Optometrist providers in Colorado →

Registry record

NPI: 1023015005
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2005
Record last updated: 15 May 2023

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.