Organization
JACKSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISSA D JACKSON OD (OPTOMETRIST)
(317) 577-9897
Entity
Organization
Contact information
Practice address
5620 A CRAWFORDSVILLE RD, SPEEDWAY, IN 46224
(317) 243-5423
(217) 243-5424
Mailing address
10775 NORTHHAMPTON DRIVE, FISHERS, IN 46038
(317) 577-9897
(317) 577-9897
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
02/21/2013
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