Search › Colorado › 152W00000X
Mark Jackson, OD
NPI 1023015005 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1250 E Magnolia St
Fort Collins, CO 80524 - Phone
- (970) 224-0606
- Fax
- (970) 493-9309
- Organisation at this address
- Walmart Inc.
Walmart Inc.
Jackson Eyecare, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 1037 Robertson St, Fort Collins, CO
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado