Russell B Jackson is a Fillmore, Utah based male Optometrist who is specialized in Optometry. Active license number of Russell B Jackson is 375344-9934 for Optometry in Utah. Russell B Jackson 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. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Russell B Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
210 S 100 E, Fillmore, Utah, 84631-2500
Phone:
435-743-6572
Fax:
435-743-5558
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 are as mentioned below.
NPI Number:
1922008663
NPI Enumeration Date:
22 Jul, 2005
NPI Last Update On:
05 Dec, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell B Jackson are as mentioned below.
License Number
Specialization
State
Status
375344-9934
Optometry
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell B Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
37534499300001
Other
Utah
BLUE CROSS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 73, Fillmore, Utah
Zip:
84631-0073
Phone Number:
435-743-6572
Fax Number:
435-743-5558
Patients can reach Russell B Jackson at 210 S 100 E, 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 09 December, 2024.
Comments/ Reviews:
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