GREGORY ROBBE JACKSON (NPI# 1114922036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114922036 |
| Entity Type | Individual |
| Full Name | GREGORY ROBBE JACKSON |
| Credential | O.D. |
| Practice Address |
2880 Dauphin St Mobile AL 36606-2457 |
| Practice Telephone | 2514731900 |
| Practice Fax Number | 2514708942 |
| Mailing Telephone | 2514731900 |
| Mailing Fax Number | 2514708942 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S662TA239 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | HEALTHSPRING PROVIDER # | U18672 | 01 |
| AL | BLUE CROSS PROVIDER # | 51079090 | 01 |
| AL | AETNA PIN | 5835512 | 01 |
| AL | UNITED HEALTHCARE PROV # | 2210141 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295194124 | Gregory L Jackson | Social Worker | 342 W Progress Rd, Prentiss, MS 39474-5221 | 2016-02-20 |
| 1811170293 | Gregory Emory Jackson | Pharmacist | 526 W 30th Street, Ny, NY 10001 | 2007-12-09 |
| 1801970769 | Gregory Wayne Jackson | Dentist | 6435 S Pulaski Rd, Chicago, IL 60629-5148 | 2006-10-25 |
| 1184738825 | Gregory Mann Jackson | Specialist | 4220 Mccullough Ave, San Antonio, TX 78212-1910 | 2006-08-19 |
| 1134158009 | Gregory Alan Jackson | Physical Therapist | 5501 Swift Rd, Sarasota, FL 34231-6209 | 2006-07-02 |
| 1982640090 | Gregory R Jackson | Radiology | 800 Mercy Hospital, Alegent Mercy Hospital, Council Bluffs, IA 51503 | 2006-06-20 |
| 1356306203 | Gregory Lee Jackson | Specialist/Technologist | 3821 Everetts Dl, Lexington, KY 40514-1185 | 2006-04-20 |
| 1568092088 | Gregory Christopher Jackson | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2020-01-23 |
| 1346747110 | Gregory Jackson | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0004 | 2018-04-09 |
| 1285167304 | Gregory M. Jackson II | Nurse Practitioner | 8600 Wurzbach Rd, Suite 1110, San Antonio, TX 78240-4330 | 2017-04-05 |
| Street Address |
2880 DAUPHIN ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263577 | Stuart Furtwangle Ball | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2005-05-23 |
| 1861003899 | Lauren Taylor Okeefe | Audiologist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2020-08-13 |
| 1295361285 | Crystal Shay Woodward | Nurse Practitioner | 2880 Dauphin St, Mobile, AL 36606-2457 | 2020-03-21 |
| 1861045221 | Rebecca Ann Laurence | Audiologist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2019-07-24 |
| 1295231264 | William Franklin Stringer Jr. | Optometrist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2018-03-30 |
| 1558873661 | Carissa M Pessia | Audiologist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2017-10-30 |
| 1528479987 | Stuart R Ball | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2014-05-19 |
| 1083034367 | Kent L. Burton | Otolaryngology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2014-04-24 |
| 1811330913 | Ashley Gaal Flagge | Audiologist | 2880 Dauphin St, Mobile, AL 36606-2457 | 2013-04-09 |
| 1578854766 | Ryan Burton | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2011-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| 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 |
|---|---|---|---|---|
| 1063982288 | Alabama Physicians Eyecare Group, P.C. | Optometrist | 3653 Airport Blvd Ste C, Mobile, AL 36608-1615 | 2018-11-30 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1487084612 | Ayesha Kidd Senior Eyecare Service LLC | Optometrist | 5700 Grelot Rd, Apt # 925, Mobile, AL 36609-3617 | 2013-11-26 |
| 1518211978 | Daniel & Max | Optometrist | 3653 Airport Blvd, Suite C, Mobile, AL 36608-1615 | 2012-11-06 |
| 1508096512 | Tara Smith Festa | Optometrist | 3290 Dauphin St., Suite 401, Mobile, AL 36606-4053 | 2009-07-24 |
| 1487848701 | Eye Care Associates Inc | Optometrist | 3460 Spring Hill Ave, Mobile, AL 36608-1523 | 2007-08-29 |
| 1407977408 | Clardy Contact Lens Center, Inc. | Optometrist | 3167 Dauphin St, Mobile, AL 36606-4061 | 2007-04-03 |
| 1598883084 | Curtis Reed | Optometrist | 6001a Grelot Rd, Mobile, AL 36609-3609 | 2007-03-26 |
| 1174651749 | Albert Eugene Franklin IIi | Optometrist | 3716 Airport Blvd Ste A, Mobile, AL 36608-1618 | 2007-03-02 |
| 1952461279 | William Bradley | Optometrist | 3291 Bel Air Mall, Mobile, AL 36606-3207 | 2006-12-08 |
| Find all providers in MOBILE | ||||
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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.