Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Parkside Eye Clinic PC

Organization Ophthalmology Physician · NPI 1861777161

Parkside Eye Clinic PC is an Ophthalmology Physician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2108 Fourth St
Jackson, MI 49203-4518
Phone: (517) 787-8443
Fax: (517) 787-0701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4301036386 (MI)

Record details

NPI number1861777161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ghulam Dastgir — President · (517) 787-8443
NPI enumeratedOctober 18, 2011
Last updated in NPPESOctober 18, 2011
Mailing address2108 Fourth Street, Jackson, MI 49203-4518

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