Individual
JAMIE JACOBS JACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4244 INDIAN RIPPLE RD, BEAVERCREEK, OH 45440-3279
(937) 320-0300
Mailing address
4244 INDIAN RIPPLE RD, DAYTON, OH 45440-3279
(937) 320-0300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006750
OH
Other
Enumeration date
05/30/2019
Last updated
12/02/2024
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