TRACY A JACKSON OD

LAKEVIEW CLINIC, LTD.

Dr TRACY A JACKSON OD is a female medical professional, specializing in Optometry. She graduated in 1994 from Ohio State University - College Of Optometry.

Contact

LAKEVIEW CLINIC, LTD.

424 W STATE HWY 5
WACONIA
MN
553871723

Tel: 9524424461

TRACY A JACKSON OD Information

Npi 1821177692
Pac Id 9739174947
Professional Enrollment Id I20040417000067
Last Name JACKSON
First Name TRACY
Middle Name A
Suffix
Gender F
Credential OD
Medical School Name OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1994
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAKEVIEW CLINIC, LTD.
Group Practice Pac Id 6002801453
Number Of Group Practice Members 44
Line 1 Street Address 424 W STATE HWY 5
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WACONIA
State MN
Zip Code 553871723
Phone Number 9524424461
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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