Organization
CHILDERS AND JACKSON FAMILY EYE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA RM JACKSON O.D. (OPTOMETRIST)
(870) 238-9407
Entity
Organization
Contact information
Practice address
723 FALLS BLVD S, STE A, WYNNE, AR 72396-3508
(870) 238-9407
(870) 238-4320
Mailing address
723 FALLS BLVD S, STE A, WYNNE, AR 72396-3508
(870) 238-9407
(870) 238-4320
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186236722
—
AR
Enumeration date
10/01/2010
Last updated
06/11/2015
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