Russell B Jackson Od is a Optometrist Center in Fillmore, Utah. It is situated at 210 S 100 W, Fillmore and its contact number is 435-743-6572. The authorized person of Russell B Jackson Od is Russell B Jackson
who is Owner Operator of the clinic and their contact number is 435-743-6572. Primary license number for Russell B Jackson Od is 375344-9934 (Optometrist) in Utah. Russell B Jackson Od Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Russell B Jackson Od Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
210 S 100 W, Fillmore, Utah, 84631
Phone:
435-743-6572
Fax:
435-743-5558
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Russell B Jackson
Position:
Owner Operator
Contact Number:
435-743-6572
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Russell B Jackson Od Center are as mentioned below.
NPI Number:
1912181967
NPI Enumeration Date:
27 Dec, 2007
NPI Last Update On:
27 Dec, 2007
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell B Jackson Od are as mentioned below.
Specialization
License Number
State
Status
Optometrist
375344-9934
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
528882505001
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Russell B Jackson Od Po Box 73, Fillmore, Utah
Zip:
84631-0073
Phone Number:
435-743-6572
Fax Number:
435-743-5558
Patients can reach Russell B Jackson Od at 210 S 100 W, Fillmore, Utah or can call to book an appointment on 435-743-6572. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.