DR. JAMES E JACKSON (NPI# 1114022142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114022142 |
| Entity Type | Individual |
| Full Name | DR. JAMES E JACKSON |
| Credential | OD |
| Practice Address |
1120 W South Boulder Road Suite 102 Lafayette CO 80026 |
| Mailing Address |
446 Blue Lake Trail Lafayette CO 80026 |
| Practice Telephone | 3036657577 |
| Practice Fax Number | 3036653633 |
| Mailing Telephone | 7208907443 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1558 | CO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
| 1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
| 1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
| 1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
| 1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
| 1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
| 1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
| Street Address |
1120 W SOUTH BOULDER ROAD SUITE 102 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093857716 | Robert A Craig | Dentist | 1120 W South Boulder Road, Suite 201, Lafayette, CO 80026-8952 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| 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 |
|---|---|---|---|---|
| 1912569864 | Meghan Held | Optometrist | 2210 Schuyler Ave, Lafayette, IN 47904-1229 | 2019-07-01 |
| 1659863264 | Daniel & Max, LLC | Optometrist | 5540 Johnston St Ste 101, Lafayette, LA 70503-5138 | 2018-05-31 |
| 1700308988 | Melissa Alane Lewis | Optometrist | 100 S Creasy Ln Ste 1530, Lafayette, IN 47905-0757 | 2017-07-10 |
| 1871015149 | Allison Heaslip | Optometrist | 2141 Sagamore Pkwy S, Lafayette, IN 47905-5109 | 2017-07-08 |
| 1467804922 | Britney Kitamata-wong | Optometrist | 3581 Mt Diablo Blvd Ste A, Lafayette, CA 94549 | 2016-07-08 |
| 1851749121 | Ossip Optometry, PC | Optometrist | 100 S Creasy Ln, Ste 1530, Lafayette, IN 47905-0751 | 2016-05-27 |
| 1366827586 | Carolyn Van | Optometrist | 201 Meadow Farm Dr., Inside of Costco, Lafayette, LA 70508 | 2015-07-29 |
| 1053660951 | Jennie Cho | Optometrist | 2677 Trailridge Dr W, Lafayette, CO 80026-3167 | 2012-09-06 |
| 1487900023 | Jessica E. Stafford | Optometrist | 5000 Ambassador Caffery Pkwy 13, Lafayette, LA 70508-6984 | 2012-08-01 |
| 1346506573 | Eyecare Indiana Ll, PC | Optometrist | 12 Professional Court, Lafayette, IN 47905-5152 | 2012-04-02 |
| Find all providers in LAFAYETTE | ||||
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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.