Organization
JACKSON EYE CENTER PLLC
Active
Organization
JACKSON EYE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD LINCOLN JACKSON SR. MD, MPH (PRESIDENT/MANAGER)
(702) 767-7048
Entity
Organization
Contact information
Practice address
710 EASTERN ST STE F, KINGMAN, AZ 86401-5486
(928) 224-0536
(928) 628-3308
Mailing address
710 EASTERN ST STE F, KINGMAN, AZ 86401-5486
(928) 224-0536
(928) 628-3308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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