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

FREDRICK J JACKSON, OD

Active

FREDRICK J JACKSON, OD is a Optometrist healthcare provider located in MONTGOMERY, Alabama. NPI 1609807015 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MONTGOMERY, AL

Registration Details

NPI Number
1609807015
Provider Type
Individual
Gender
Male
NPI Issued
Jul 5, 2006 (20.067514927251 yrs)
Last Updated
Jul 9, 2013
License
S553TA209 (AL)

Practice Information

Address
8436 VAUGHN RD
MONTGOMERY, AL, 361178862
Browse AL providers · Browse ZIP 36117
Phone
3342713900
Fax
3342713915
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MONTGOMERY, AL

Name Credential NPI
DR. FRANCES REBECCA BIZZLE O.D. 1831199470
DR. ROY CHARLES GOODMAN JR. O.D. 1265428353
DR. DORIS ANN APPLEBY OD 1215918925
MICHAEL B BRADFORD OD 1346224920
ERNEST E. SISNEROS JR. O.D. 1619942612
BENJAMIN F HARRIS OD 1326084906
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.