William Jackson, O.D. Valid NPI

Individual provider · Optometrist · Lake Jackson, TX

NPI

1326109661

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

4491TG (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-12-12

Last updated

2016-10-26