Organization
JACKSON FAMILY EYE CARE, LLC
Active
Other names
Jackson Eye
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE NICOLE JACKSON OD (OWNER/ OPTOMETRIST)
(972) 689-6722
Entity
Organization
Contact information
Practice address
5370 CAMPBELLTON FAIRBURN RD, 410, FAIRBURN, GA 30213-2296
(972) 689-6722
Mailing address
5370 CAMPBELLTON FAIRBURN RD, 410, FAIRBURN, GA 30213-2296
(972) 689-6722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002717
GA
Other
Enumeration date
11/03/2014
Last updated
03/27/2015
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