Individual
JAMES PAUL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1845 MAIN AVE, DURANGO, CO 81301-5035
(970) 259-1789
(970) 259-0810
Mailing address
1845 MAIN AVE, DURANGO, CO 81301-5035
(970) 259-1789
(970) 259-0810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1530
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18555306
—
CO
Enumeration date
01/09/2007
Last updated
02/07/2008
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