MR. JOSEPH JACKSON, OD

Optometrist

Active Individual
NPI: 1649352691

Practice Address

3323 FRONTAGE RD
Peru, IL 61354

Phone: (815) 220-0652

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 46007341 (IL)

Frequently Asked Questions

NPI 1649352691 is the National Provider Identifier for MR. JOSEPH JACKSON, OD, a Optometrist provider located in Peru, IL. This NPI was enumerated on October 19, 2006.
MR. JOSEPH JACKSON, OD practices at 3323 FRONTAGE RD, Peru, IL 61354.

Quick Facts

NPI
1649352691
Type
Individual
Enumerated
Oct 19, 2006
Last Updated
Jan 8, 2014

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