Darcy Jackson

NPI 1568063048 · on the registry since 2020 · sole proprietor

Practice

Address: 2485 Possum Run Rd
Mansfield, OH 44903
Phone: (419) 756-7177
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Eye Care For You In Mansfield Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-11-03

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 Ohio