Dr. Jeffrey Alan Jackson
Optometrist
560 N Camino Mercado Ste 1
Casa Grande
, Arizona 85122-5759
Dr. Jeffrey Alan Jackson
Optometrist
560 N Camino Mercado Ste 1
Casa Grande
, Arizona 85122-5759
(602) 508-4830
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Alan Jackson
- 4800 N 22nd St Ste 210
- Phoenix, AZ
- Zip : 85016-4963
- Fax : (602) 508-4830
- Phone : (480) 892-8400
Second Address
- Dr. Jeffrey Alan Jackson
- 560 N Camino Mercado Ste 1
- Casa Grande, AZ
- Zip : 85122-5759
- Fax : (520) 426-1554
- Phone : (520) 426-9224
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FAQs
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Is Dr. Jeffrey Alan Jackson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1578 | AZ |
| Y | 152W00000X | Optometrist | OPT-001578 | AZ |
National Provider Identifier
| NPI | 1003014051 |
|---|---|
| Provider Name | Dr. Jeffrey Alan Jackson |
| First Address | Phoenix, AZ 85016-4963 |
| Second Address | Casa Grande, AZ 85122-5759 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2007 |
| Last Update Date | 17/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 161292 | (05) | AZ |
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.