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

DR. WAYNE STEWART JACKSON, OD

Active

DR. WAYNE STEWART JACKSON, OD is a Optometrist healthcare provider located in WHITEHALL, Michigan. NPI 1831174275 is currently active in the NPPES registry. Verify at CMS.

Optometrist · WHITEHALL, MI

Registration Details

NPI Number
1831174275
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2005 (20.501358487343 yrs)
Last Updated
Jun 14, 2010
License
4901002699 (MI)

Practice Information

Address
4613 DOUG DR
WHITEHALL, MI, 494619647
Browse MI providers · Browse ZIP 49461
Phone
2318949893
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in WHITEHALL, MI

Name Credential NPI
DR. THOMAS MICHAEL ADAMCZAK O.D. 1083614911
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.