Dr. Jaclyn Marie Mckenzie
Optometrist
3601 Washtenaw Ave
Ann Arbor
, Michigan 48104-5277
Dr. Jaclyn Marie Mckenzie
Optometrist
3601 Washtenaw Ave
Ann Arbor
, Michigan 48104-5277
(810) 923-4826
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Jaclyn Marie Mckenzie
- 5048 Pinewood Dr
- Brighton, MI
- Zip : 48116-5132
- Phone : (810) 923-4826
Second Address
- Dr. Jaclyn Marie Mckenzie
- 3601 Washtenaw Ave
- Ann Arbor, MI
- Zip : 48104-5277
- Fax : (734) 973-1712
- Phone : (734) 973-1712
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004609 | MI |
National Provider Identifier
| NPI | 1013210160 |
|---|---|
| Provider Name | Dr. Jaclyn Marie Mckenzie |
| First Address | Brighton, MI 48116-5132 |
| Second Address | Ann Arbor, MI 48104-5277 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2010 |
| Last Update Date | 13/12/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.