Joseph Barry Jackson, OD

Optometrist · Peru, IL

Individual Active NPI

NPI number 1649352691

Practice location

3323 Frontage Rd
Peru, IL 61354-1101
Phone
(815) 220-0652
Fax
(815) 220-0732

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NPI record

NPI
1649352691
Entity type
Individual (Type 1)
Enumeration date
October 19, 2006
Last updated
January 8, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 46007341 IL

Mailing address

8309 N Knoxville Ave
Peoria, IL 61615-2170
Phone
(309) 693-9540
Fax
(309) 693-9542

About Dr. Jackson

Joseph Barry Jackson, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3323 Frontage Rd, Peru, IL 61354-1101. The NPI number 1649352691 was assigned on October 19, 2006 and the record was last updated on January 8, 2014.

Dr. Jackson lists a license in the registry: #46007341 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joseph Barry Jackson, OD?

The NPI number is 1649352691.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (815) 220-0652.

Where is Dr. Jackson located?

3323 Frontage Rd, Peru, IL 61354-1101.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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