Individual
DR. MARGARET S MCCALLA-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2600 W 3RD ST, BLOOMINGTON, IN 47404-5227
(812) 336-5432
(812) 332-5084
Mailing address
9795 CROSSPOINT BLVD, SUITE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001887A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000078730
BLUE CROSS
IN
05
—
100184230
—
IN
Enumeration date
06/14/2006
Last updated
09/09/2014
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