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DRS JACKSON & LEE INC NPI 1194883017


NPI Information

NPI: 1194883017
Provider Name: DRS JACKSON & LEE, INC

Doing Business As: FAMILY EYE CLINIC

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
28815 PACIFIC HWY S
SUITE 2
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 941-7074
Get Directions

DRS JACKSON & LEE, INC is an optometrist in Federal Way, WA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DRS JACKSON & LEE, INC NPI is 1194883017. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Family Eye Clinic.

The provider's business location address is:

28815 PACIFIC HWY S
SUITE 2
FEDERAL WAY, WA
ZIP 98003-906
Phone: (253) 941-7074
Fax: (253) 941-5079

The provider's authorized official is Duane L Jackson .
The authorized official title is Owner and has the following contact phone number (253) 941-7074.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 6/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOD00002039WASHINGTONNo
2152W00000XOptometristOD00002095WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12032688MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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