DR. JESSICA A BAXTER (NPI# 1184946287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184946287 |
| Entity Type | Individual |
| Full Name | DR. JESSICA A BAXTER |
| Credential | O.D. |
| Practice Address |
4810 North St Suite 20/20 Nacogdoches TX 75965-1876 |
| Mailing Address |
12402 San Lucia River Dr Houston TX 77050-3832 |
| Practice Telephone | 9365680219 |
| Practice Fax Number | 9365604252 |
| Mailing Telephone | 9365680219 |
| Mailing Fax Number | 9365604252 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7442T | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
| 1184223687 | Jessica Baxter | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-10-26 |
| 1811409840 | Jessica Ferguson Baxter | Internal Medicine | 109 Carter Park Dr, Seneca, SC 29678-1152 | 2017-10-31 |
| 1891101242 | Jessica Baxter | Registered Nurse | 1481 W 10th St, Attn 11-e Jessica Baxter, Indianapolis, IN 46202-2803 | 2014-07-07 |
| 1023444726 | Jessica Y Baxter | Developmental Therapist | 25 Willow St, West Roxbury, MA 02132-1537 | 2013-09-25 |
| 1215372479 | Jessica W Baxter | Nurse Practitioner | 503 W Market St, Georgetown, DE 19947-2321 | 2013-05-01 |
| 1861648289 | Jessica J Baxter | Physician Assistant | 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503-2560 | 2008-08-18 |
| 1134251473 | Jessica Baxter | Counselor | 190 Sierra Ct, Palmdale, CA 93550-7607 | 2007-03-12 |
| Street Address |
4810 NORTH ST SUITE 20/20 |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572933 | Jacqueline La-shawn Pierre | Optometrist | 4810 North St, Nacogdoches, TX 75965 | 2006-01-17 |
| 1477154664 | Donald Raymond Moore | Pharmacist | 4810 North St, Nacogdoches, TX 75965-1876 | 2020-11-04 |
| 1083214100 | Ralph Donald Ballard | Pharmacist | 4810 North St, Nacogdoches, TX 75965-1876 | 2020-10-28 |
| 1780243097 | King Vision LLC | Optometrist | 4810 North St, Nacogdoches, TX 75965-1876 | 2019-06-10 |
| 1073694436 | Wal-mart Stores Texas, Lp | Technician/Technologist | 4810 North St, Nacogdoches, TX 75965-1876 | 2006-10-18 |
| 1821015090 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 4810 North St, Nacogdoches, TX 75965-1876 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| 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 |
|---|---|---|---|---|
| 1336289396 | Donald R. Migl | Optometrist | 4810 North St Ste 2020, Nacogdoches, TX 75965-1876 | 2007-02-07 |
| 1669589081 | Melanie Montes Vardeman | Optometrist | 4729 Ne Stallings Dr, Nacogdoches, TX 75965-1607 | 2006-08-23 |
| 1730190489 | Don Paul Rudasill | Optometrist | 3915 Ne Stallings Dr, Nacogdoches, TX 75965-2169 | 2006-08-10 |
| 1871572933 | Jacqueline La-shawn Pierre | Optometrist | 4810 North St, Nacogdoches, TX 75965 | 2006-01-17 |
| 1164411195 | Gerardo Saldana Jr. | Optometrist | 3208 N University Dr, Nacogdoches, TX 75965-2633 | 2005-10-21 |
| 1780243097 | King Vision LLC | Optometrist | 4810 North St, Nacogdoches, TX 75965-1876 | 2019-06-10 |
| 1710493838 | Vardeman Eye Associates Pllc | Optometrist | 3915 Ne Stallings Dr, Nacogdoches, TX 75965-2169 | 2017-12-27 |
| 1841630936 | Amidemebie Dechavez Casis | Optometrist | 3915 Ne Stallings Dr, Nacogdoches, TX 75965-2169 | 2013-07-03 |
| 1356639009 | Ryan Self | Optometrist | 3208 N University Dr, Nacogdoches, TX 75965-2633 | 2011-07-15 |
| 1356645964 | Nacogdoches Eye Associates, Pllc | Optometrist | 3208 N University Dr, Nacogdoches, TX 75965-2633 | 2010-12-23 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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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.