Organization
DRS JACKSON & LEE, INC
Active
Other names
FAMILY EYE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE L JACKSON II O.D. (OWNER)
(253) 941-7074
Entity
Organization
Contact information
Practice address
28815 PACIFIC HWY S, SUITE 2, FEDERAL WAY, WA 98003-3906
(253) 941-7074
(253) 941-5079
Mailing address
28815 PACIFIC HWY S, SUITE 2, FEDERAL WAY, WA 98003-3906
(253) 941-7074
(253) 941-5079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD00002039
WA
152W00000X
Optometrist
Primary
OD00002095
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032688
—
WA
Enumeration date
12/04/2006
Last updated
06/04/2019
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