IndividualActive
Richard Jackson, O.D.
NPI 1972616134 · Optometrist · Anthony, TX
Provider details
- NPI number
- 1972616134
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4023T (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
216 W Washington St
Anthony, TX 79821-9304
Phone: (915) 886-3005
Fax: (915) 886-3005
Approximate (ZIP-level) locationGet directions
Mailing address
216 W Washington St
Anthony, TX 79821-9304
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.