JACKSON EYE CARE, INC (NPI# 1114100740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114100740 |
| Entity Type | Organization |
| Organization Name | JACKSON EYE CARE, INC |
| Other Organization Name | BARRY JACKSON OD |
| Practice Address |
51 E 400 N Suite 4a Cedar City UT 84720-2686 |
| Mailing Address |
Po Box 1574 Cedar City UT 84721-1574 |
| Practice Telephone | 4355861500 |
| Practice Fax Number | 4358650784 |
| Mailing Telephone | 4355861500 |
| Mailing Fax Number | 4358650784 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | DR. RUSSELL B JACKSON (OWNER OPERATOR) |
| Authorized Official Telephone | 4355861500 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 375344-9934 | UT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 528882505001 | 05 |
| Other Name | Type Code |
|---|---|
| BARRY JACKSON OD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912181967 | Jackson Eye Care, Inc | Optometrist | 210 S 100 W, Fillmore, UT 84631 | 2007-12-27 |
| Street Address |
51 E 400 N SUITE 4A |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84720-2686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407873904 | Loy D Brown | Optometrist | 51 E 400 N, #4a, Cedar City, UT 84721-6186 | 2006-07-17 |
| 1861705154 | Northland Hearing Centers Inc | Audiologist-Hearing Aid Fitter | 51 E 400 N, Suite 4a, Cedar City, UT 84721-6186 | 2010-07-15 |
| 1093948879 | Dr. Loy Brown, Optometrist, Inc. | Eyewear Supplier (Equipment, not the service) | 51 E 400 N, Ste. 4 A, Cedar City, UT 84721-6186 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
| 1871012567 | Michael Angelo Dawson | Technician, Other | 245 E 680 N, Cedar City, UT 84720 | 2017-09-13 |
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 1073988077 | Southwest Utah Community Health Center | Clinic/Center | 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 | 2015-12-02 |
| 1750710455 | Matthew Reiser | Psychologist | 136 West Center St, Southern Utah University Caps, Cedar City, UT 84720 | 2013-11-04 |
| 1619249471 | Debra Heath | Licensed Practical Nurse | 440 North Paiute Dr., Cedar, UT 84720 | 2012-02-08 |
| 1942591441 | Glendon Arly Pedersen | Technician, Health Information | 57 N. 200 E., Cedar City, UT 84720 | 2011-05-02 |
| 1457642407 | Cody Wayne Hutchings | Technician, Other | 54 North 200 East, Cedar City, UT 84720 | 2011-04-26 |
| Find all providers in zip 84720 | ||||
| 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 |
|---|---|---|---|---|
| 1861571234 | Brian R Whitney | Optometrist | 66 W Harding Ave, Suite B, Cedar City, UT 84720 | 2006-11-04 |
| 1407873904 | Loy D Brown | Optometrist | 51 E 400 N, #4a, Cedar City, UT 84721-6186 | 2006-07-17 |
| 1386612810 | Steven C Taggart | Optometrist | 1330 S Providence Center Dr, Cedar City, UT 84720-1906 | 2006-03-10 |
| 1629309448 | Advanced Family Vision Center, Inc. | Optometrist | 1760 N Main St, Suite 103, Cedar City, UT 84721-7775 | 2010-01-18 |
| 1821273319 | Brian R. Whitney, Od PC | Optometrist | 66 W Harding Ave, Cedar City, UT 84720-2695 | 2008-01-03 |
| 1215050109 | Southern Utah Vision Care, Inc. | Optometrist | 1251 Northfield Rd, Suite 215, Cedar City, UT 84720-8622 | 2007-04-08 |
| 1043303340 | David Paul Eastman | Optometrist | 1333 N Main St, Cedar City, UT 84721-9314 | 2006-10-02 |
| 1427140417 | William Scott Albrecht | Optometrist | 1251 Northfield Rd, Suite 215, Cedar City, UT 84720-8622 | 2006-09-28 |
| 1326158551 | Rory J. Christian | Optometrist | 1811 W Royal Hunte Dr Ste 1, Cedar City, UT 84720-8274 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1104443159 | National Vision Inc | Optometrist | 1917 W 1800 N Ste D1, Clinton, UT 84015-8558 | 2020-06-25 |
| 1295350247 | Victoria Nielsen | Optometrist | 4934 S Plymouth View Dr, Taylorsville, UT 84123-4204 | 2020-06-15 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1013532894 | Meagan Miles | Optometrist | 1752 W 400 N Apt B, Salt Lake City, UT 84116-3546 | 2020-06-08 |
| 1669096020 | Thomas Edward Clark | Optometrist | 3672 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7172 | 2020-06-02 |
| 1225651011 | Bethany Ruth Gillett | Optometrist | 3029 S Colt Plaza Dr Ste 1, West Valley City, UT 84128-4015 | 2020-05-27 |
| 1881217446 | Collin Robert Gray | Optometrist | 75 W State St, Lehi, UT 84043-1546 | 2020-05-18 |
| 1841820792 | Clifford Parker | Optometrist | 4283 Harrison Blvd, Ogden, UT 84403-3101 | 2020-01-20 |
| 1598303075 | Choice Eye Center, LLC | Optometrist | 12272 S 800 E Ste 100a, Draper, UT 84020-9776 | 2019-12-16 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR CITY |
| Zip Code | 84720 |
Please comment or provide details below to improve the information on JACKSON EYE CARE, INC.
| 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.