Jackson, Gary Chase

Jackson, Gary Chase is an individual health care provider with primary practice located at 6030 W University Blvd , Odessa TX 79764. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jackson, Gary Chase can be contacted via phone (432) 640-6600.

Contact Information

Primary practice address
6030 W University Blvd Odessa TX 79764
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100307 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X 8568 Texas

Profile Details

NPI number 1992119838
LBN Legal business name Jackson, Gary Chase
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2014
Last updated Sep 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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