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Brian Jacks, O.D
NPI 1346479011 · on the registry since 2009
Practice
- Address
- 7903 W Grandridge Blvd Ste A
Kennewick, WA 99336 - Phone
- (509) 783-0667
- Fax
- (509) 735-7981
- Organisation at this address
- Family Eye Care Ps
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-07-02
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 Washington