Individual
EDWARD JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
479 OLD UNION TPKE, LANCASTER, MA 01523-3029
(978) 537-3900
(978) 537-6030
Mailing address
479 OLD UNION TPKE, LANCASTER, MA 01523-3029
(978) 537-3900
(978) 537-6030
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1303
MA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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