Organization
RONALD M. JACKSON, O.D. CHARTERED
Active
Other names
DBA Jackson & Baalman, Doctors of Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MORRIS JACKSON O.D. (PRESIDENT)
(316) 722-6452
Entity
Organization
Contact information
Practice address
982 N TYLER RD, SUITE A, WICHITA, KS 67212-3271
(316) 722-6452
(316) 722-6001
Mailing address
982 N TYLER RD, SUITE A, WICHITA, KS 67212-3271
(316) 722-6452
(316) 722-6001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0982-3
KS
152W00000X
Optometrist
1293-3
KS
Other
Enumeration date
09/17/2006
Last updated
03/30/2012
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