David Jackson, ABOC
NPI 1851566467 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4200 Elderon Ave
Baltimore, MD 21215 - Phone
- (410) 664-4508
- Fax
- (410) 664-0605
- Organisation at this address
- Mobile Optical Service, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-24
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 Maryland