Jackson, Julia Rebecca Meyer
Jackson, Julia Rebecca Meyer is an sole proprietor health care provider with primary practice located at 723 S. Falls Blvd Ste A, Wynne AR 72396-0562. She recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Jackson, Julia Rebecca Meyer can be contacted via phone (870) 238-2020.Contact Information
Primary practice address
723 S. Falls Blvd Ste A
Wynne AR 72396-0562
Phone: (870) 238-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2609 | Arkansas |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 2609 | Arkansas |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2609 | Arkansas |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2609 | Arkansas |
Eye and Vision Services Providers / Optometrist | 152W00000X | 2609 | Arkansas |
Profile Details
NPI number | 1568627958 |
---|---|
LBN Legal business name | Jackson, Julia Rebecca Meyer |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2008 |
Last updated | Oct 20th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568627958 | NPPES |
Arkansas | MEDICAID | 175315722 | |
Arkansas | Other | 4T021 | |
Arkansas | Other | 6477243001 |
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