NPI 1205819638

Rebecca Katherine Pitt Jackson, OD

Practitioner Optometrist Missoula, MT

Practice location

Address: 2510 S Reserve St, Missoula, MT 59801-7546
Phone: (406) 251-4579
Fax: (406) 251-3285

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 716 (MT)

Other Optometrist providers in Montana →

Registry record

NPI: 1205819638
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2005
Record last updated: 19 Mar 2008

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.