Search › Nebraska › 152W00000X
Daniel Jackson, O.D
NPI 1972502391 · on the registry since 2005 · sole proprietor
Practice
- Address
- 713 N 114th St
Omaha, NE 68154 - Phone
- (402) 991-3131
- Organisation at this address
- Provision Eye Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-01
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 Nebraska