# JAKSON EYECARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982981734
- **Authorized official:** DR. KINGA JAKSON O.D. (OPTOMETRIST)
- **Authorized official phone:** (727) 744-5608

## Contact information

- **Practice address:** 1900 S UNIVERSITY DR, MIRAMAR, FL 33025-2230
- **Practice address phone:** (727) 744-5608
- **Mailing address:** 1033 NE 17TH WAY, UNIT 1001, FORT LAUDERDALE, FL 33304-2458
- **Mailing address phone:** (727) 744-5608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 4455 | FL | Yes |

## Other

- **Enumeration date:** 11/08/2011
- **Last updated:** 11/08/2011