DR MIJA JACKSON LEE PLLC (NPI# 1093005183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093005183 |
| Entity Type | Organization |
| Organization Name | DR MIJA JACKSON LEE PLLC |
| Practice Address |
250 W Highway 67 Duncanville TX 75137-4415 |
| Practice Telephone | 9725729555 |
| Practice Fax Number | 9725725505 |
| Mailing Telephone | 9725729555 |
| Mailing Fax Number | 9725725505 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | DR. MIJA JACKSON LEE (OWNER) |
| Authorized Official Telephone | 9725729555 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6034 TG | TX | Eye and Vision Services Providers |
| Street Address |
250 W HIGHWAY 67 |
| City | DUNCANVILLE |
| State | TX |
| Zip Code | 75137-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853967 | Ashley Moore | Pharmacist | 250 W Highway 67, Duncanville, TX 75137-4415 | 2020-08-24 |
| 1245759554 | Matthew Tjandra | Pharmacist | 250 W Highway 67, Duncanville, TX 75137-4415 | 2017-09-18 |
| 1245624394 | Costco Wholesale Corporation | Hearing Aid Equipment | 250 W Highway 67, Duncanville, TX 75137-4415 | 2015-03-26 |
| 1043601743 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 250 W Highway 67, Duncanville, TX 75137-4415 | 2015-02-17 |
| 1255616058 | Mandy Shu | Pharmacist | 250 W Highway 67, Duncanville, TX 75137-4415 | 2011-10-12 |
| 1770862674 | Jim Mason | Pharmacist | 250 W Highway 67, Duncanville, TX 75137-4415 | 2011-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960100 | Smile By Smile Pllc | Dentist | 901 E Hwy 67 Plaza, Ste B, Duncanville, TX 75137 | 2020-04-03 |
| 1245874676 | Blessing Cordilia Egede | Registered Nurse | 150 E Hwy 67 Suite 180, Duncanville, TX 75137 | 2019-10-29 |
| 1770070914 | Andre Jermaine Twine | Specialist | 943 S Cedar Ridge Rd, Dallas, TX 75137 | 2018-04-13 |
| 1033509138 | James Steven Sollers | Dentist | 1402 South Clark Road, Duncanville, TX 75137 | 2015-01-27 |
| 1427456136 | Effective Therapy Solutions, LLC | Speech-Language Pathologist | 407 W. Danieldale Road, Suite 100, Duncanville, TX 75137 | 2014-12-11 |
| 1619303963 | Dallas Heart and Vascular Center, Pllc | Internal Medicine | 916 E Us Hwy 67, Duncanville, TX 75137 | 2013-09-18 |
| 1033432349 | Mary Koetting | Physician Assistant | 726 S. Cockrell Rd., Duncanville, TX 75137 | 2010-03-02 |
| 1265661078 | Charity T. Simmonds | Obstetrics & Gynecology | 939 Fairway Dr., Duncanville, TX 75137 | 2009-07-14 |
| 1073702718 | Mija Jackson Lee | Optometrist | 250 W. Hwy 67, Duncanville, TX 75137 | 2007-10-18 |
| 1386793701 | Lamantha Richardson | Nurse Practitioner | 407 W Danieldale Rd Ste 100, Duncanville, TX 75137 | 2007-01-09 |
| Find all providers in zip 75137 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073702718 | Mija Jackson Lee | Optometrist | 250 W. Hwy 67, Duncanville, TX 75137 | 2007-10-18 |
| 1255474219 | Anthony Peterson | Optometrist | 150 E Highway 67, Suite 120, Duncanville, TX 75137-4476 | 2007-02-15 |
| 1710028733 | Ronald Orville King | Optometrist | 215 W Camp Wisdom Rd, Suite 106, Duncanville, TX 75116-3340 | 2007-02-11 |
| 1316282841 | Alp Vision Care Services, Pllc | Optometrist | 150 E Highway 67, Suite 120, Duncanville, TX 75137-4476 | 2012-12-10 |
| 1003015397 | Dr Tracey L Yothers, Od | Optometrist | 535 W Wheatland Rd, Duncanville, TX 75116-4515 | 2007-07-16 |
| 1851454508 | William G Dover | Optometrist | 535 W Wheatland Rd, Duncanville, TX 75116-4515 | 2006-12-17 |
| 1356404008 | Tracey L. Yothers | Optometrist | 535 W Wheatland Rd, Duncanville, TX 75116-4515 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1750981684 | Joel George | Optometrist | 6418 Eckhert Rd Apt 4206, San Antonio, TX 78240-3142 | 2020-10-29 |
| 1104425743 | Lara Fady | Optometrist | 13614 Meridian Springs Ln, Houston, TX 77077-2123 | 2020-10-24 |
| 1295334001 | Eye Room Pllc | Optometrist | 17659 Fishtrap Road, Ste 30, Prosper, TX 75078-7507 | 2020-10-22 |
| 1699374538 | Daniel Max & Marc Andrea LLC | Optometrist | 1051 Silber Rd, Houston, TX 77055-7134 | 2020-10-21 |
| 1922607902 | Glimpse Eye Care | Optometrist | 26435 Kuykendahl Rd Ste 800, Tomball, TX 77375-1855 | 2020-10-21 |
| 1831798016 | Birds Eye View Optometry - League City Pllc | Optometrist | 1355 E League City Pkwy Ste 200, League City, TX 77573-7095 | 2020-10-20 |
| 1720687056 | Judy Hoang | Optometrist | 8910 Bandera Rd Ste 105, San Antonio, TX 78250-3227 | 2020-10-19 |
| 1922607274 | Danielle Nimeh | Optometrist | 6636 Lake Worth Blvd Ste 300, Lake Worth, TX 76135-3029 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | DUNCANVILLE |
| Zip Code | 75137 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.