IndividualActive
Jeffrey Jackson, O.D.
NPI 1003014051 · Optometrist · Casa Grande, AZ
Provider details
- NPI number
- 1003014051
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1578 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
560 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5759
Phone: (520) 426-9224
Fax: (520) 426-1554
Approximate (ZIP-level) locationGet directions
Mailing address
4800 N 22nd St Ste 210
Phoenix, AZ 85016-4963
Additional practice locations (1)
- 855 S Dobson Rd Ste 1Chandler, AZ 85224-5719Phone: (602) 955-1000Fax: (602) 508-4830
Registry dates
- Enumerated
- 2007-07-10
- Last updated
- 2021-11-17
- Certified
- 2021-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.