Russell B Jackson OD

  • NPI 1922008663
According to our database, the NPI number for Russell B Jackson OD is 1922008663 and activated since 18 years ago. Russell B Jackson OD is an individual provider who specializes in Optometrist, and the primary practice location is 210 S 100 E, Fillmore, UT 84631. You can also contact Russell B Jackson OD via telephone number is (435) 743-6572. Provider NPI information was last updated on 12/05/2007.

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Overview of Russell B Jackson OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/22/2005
  • Last updated: 12/05/2007

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 375344-9934
  • License State: UT

Provider Mailing Address

  • Address: Po Box 73
    Fillmore, UT 84631
  • Phone: 435-743-6572
  • Fax: 435-743-5558

Provider Practice Location

  • Address: 210 S 100 E
    Fillmore, UT 84631
  • Phone: 435-743-6572
  • Fax: 435-743-5558

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 375344-993
  • License State: UT
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 37534499300001
  • Identifier Type: Other
  • Identifier State: UT
  • Issuer: BLUE CROSS

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Russell B Jackson OD?
  • A: The npi number for Russell B Jackson OD is 1922008663.
  • Q: What are Russell B Jackson OD's specialties?
  • A: Russell B Jackson OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Russell B Jackson OD?
  • A: The medical license number for Russell B Jackson OD is 375344-9934 and issued in UT in USA.
  • Q: Where is Russell B Jackson OD practice location?
  • A: Russell B Jackson OD is practicing at 210 S 100 E, Fillmore, UT 84631.
  • Q: How to contact Russell B Jackson OD?
  • A: You can contact Russell B Jackson OD via 435-743-6572.