Jackson, Kevin Carl

Jackson, Kevin Carl is an individual health care provider with primary practice located at 7828 Eastern Ave Nw , Washington DC 20012. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jackson, Kevin Carl can be contacted via phone (202) 829-2700.

Contact Information

Primary practice address
7828 Eastern Ave Nw Washington DC 20012
Fax: (202) 829-4033
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 615 District of Columbia

Profile Details

NPI number 1881724607
LBN Legal business name Jackson, Kevin Carl
Credentials OPTOMETRIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 19 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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