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

JUSTIN JACKMAN, OD

Active Sole Proprietor

JUSTIN JACKMAN, OD is a Optometrist healthcare provider located in ODESSA, Texas. NPI 1982046967 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ODESSA, TX

Registration Details

NPI Number
1982046967
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2013 (12.892875993232 yrs)
Last Updated
Jul 19, 2013
License
8188T (TX)
Sole Proprietor
Yes

Practice Information

Address
4015 PENBROOK ST
ODESSA, TX, 797625917
Browse TX providers · Browse ZIP 79762
Phone
4323623133
Fax
4323624818
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in ODESSA, TX

Name Credential NPI
DR. MICHAEL EVAN FEESER O.D. 1821096173
JAMES HARPER O.D. 1447243084
DR. RICK MUNOZ OD 1932181104
SAMUEL CANON OD 1285693473
RALPH COCKRELL OD 1346219664
MICHAEL A BUZBEE OD 1649280405
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.