Organization
PENDLETON FAMILY OPTOMETRY PC
Active
Other names
Megan N Jackson OD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN N JONES O.D. (OWNER)
(765) 778-7524
Entity
Organization
Contact information
Practice address
120 E STATE ST, PENDLETON, IN 46064-1027
(765) 778-7524
(765) 778-7525
Mailing address
120 E STATE ST, PENDLETON, IN 46064-1027
(765) 778-7524
(765) 778-7525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003294A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350073
ANTHEM
IN
01
—
A03409
EYEMED
IN
Enumeration date
09/25/2007
Last updated
09/18/2023
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