NPI 1114922036

Gregory Robbe Jackson, OD

Practitioner Optometrist Mobile, AL

Practice location

Address: 2880 Dauphin St, Mobile, AL 36606-2457
Phone: (251) 473-1900
Fax: (251) 470-8942

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence S662TA239 (AL)

Other Optometrist providers in Alabama →

Registry record

NPI: 1114922036
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2005
Record last updated: 19 Nov 2007

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.