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

Russell B Jackson, OD

Individual provider Optometrist · NPI 1922008663

Russell B Jackson, OD is an Optometrist in Fillmore, Utah. Licensed in Utah. Registered with an NPI since 2005.

Licensed in
UT
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

210 S 100 E
Fillmore, UT 84631-2500
Phone: (435) 743-6572
Fax: (435) 743-5558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 375344-9934 (UT)

Record details

NPI number1922008663
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 22, 2005
Last updated in NPPESDecember 5, 2007
Mailing addressPo Box 73, Fillmore, UT 84631-0073

Other providers in Fillmore