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Russell Jackson, OD
NPI 1922008663 · on the registry since 2005
Practice
- Address
- 210 S 100 E
Fillmore, UT 84631 - Phone
- (435) 743-6572
- Fax
- (435) 743-5558
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-05
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 Utah