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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANIEL LEROY JACKS, O.D.

Active Sole Proprietor

DR. DANIEL LEROY JACKS, O.D. is a Optometrist healthcare provider located in KENNEWICK, Washington. NPI 1427116888 is currently active in the NPPES registry. Verify at CMS.

Optometrist · KENNEWICK, WA

Registration Details

NPI Number
1427116888
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2006 (19.66153550177 yrs)
Last Updated
Aug 20, 2012
Licenses
1091 (WA)
1091 (WA)
Sole Proprietor
Yes

Practice Information

Address
7903 W GRANDRIDGE BLVD STE 3
KENNEWICK, WA, 993367827
Browse WA providers · Browse ZIP 99336
Phone
5097830667
Fax
5097357981
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in KENNEWICK, WA

Name Credential NPI
DONALD A TRAVIS OD 1881694941
MISS KENDAL RAE PIATT O.D. 1922095868
MR. DOUGLAS GERALD QUESNELL O.D. 1336136266
DR. AARON MICHAEL BANTA O.D. 1831166891
MR. KEVIN B AYERS OD 1336118496
DR. KURTIS K HILL O.D. 1750343919
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.