DR. JULIA REBECCA MEYER JACKSON (NPI# 1568627958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568627958 |
| Entity Type | Individual |
| Full Name | DR. JULIA REBECCA MEYER JACKSON |
| Credential | O.D. |
| Practice Address |
723 S. Falls Blvd Ste A Wynne AR 72396-0562 |
| Practice Telephone | 8702382020 |
| Mailing Telephone | 8702382020 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2609 | AR | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2609 | AR | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
2609 | AR | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
2609 | AR | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
2609 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE | 4T021 | 01 |
| AR | PTAN | 6477243001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215466453 | Julia Jackson | Social Worker | 900 Nw 8th Ave Ste H, Gainesville, FL 32601-5059 | 2017-06-10 |
| 1528570637 | Julia M Jackson | Nurse Practitioner | 2349 Mill St, Aliquippa, PA 15001-2219 | 2017-10-30 |
| 1629515358 | Julia Jackson | Physician Assistant | 1925 Pacific Ave Fl 8, Atlantic City, NJ 08401-6713 | 2017-01-19 |
| 1326416660 | Julia Jackson | Pharmacist | 2101 Collins Blvd, Covington, LA 70433-5673 | 2015-09-03 |
| 1629474259 | Julia Jackson | Physical Therapist | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2014-11-10 |
| 1588936579 | Julia Jackson | Counselor | 8012 Stewart Mountain Dr, Eagle River, AK 99577-9013 | 2012-02-06 |
| 1649455882 | Julia Lamarre Jackson | Dentist | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2008-01-07 |
| 1487662615 | Julia Steele Jackson | Physician Assistant | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2006-08-03 |
| 1407888068 | Julia Christine Jackson | Psychiatry & Neurology | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2006-07-06 |
| Street Address |
723 S. FALLS BLVD STE A |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-0562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| 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 |
|---|---|---|---|---|
| 1932733185 | Ashley Mcgee | Optometrist | 723 Falls Blvd S Ste A, Wynne, AR 72396-3509 | 2020-02-26 |
| 1023116258 | Michael O. Norris | Optometrist | 619 Canal Ave E, Wynne, AR 72396-3003 | 2006-09-20 |
| 1295717940 | Billy J Mitchell Jr. | Optometrist | 668 Falls Blvd N, Wynne, AR 72396-2614 | 2005-11-17 |
| 1790146249 | Mitchell Eye Clinic Pa Inc | Optometrist | 668 Falls Blvd N, Wynne, AR 72396-2614 | 2016-03-11 |
| 1407238736 | Austin Swain | Optometrist | 723 Falls Blvd S, Suite A, Wynne, AR 72396-3508 | 2015-06-23 |
| 1073946596 | Kurt W Brawner | Optometrist | 668 Falls Blvd N, Wynne, AR 72396-2614 | 2013-08-20 |
| 1003125535 | Childers and Jackson Family Eye Care Inc. | Optometrist | 723 Falls Blvd S, Ste A, Wynne, AR 72396-3508 | 2010-10-01 |
| 1932395308 | Michael O Norris Od Pa | Optometrist | 619 Canal Ave E, Wynne, AR 72396-3003 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373088 | Taylor Renz | Optometrist | 1225 W Beebe Capps Expy, Searcy, AR 72143-5179 | 2020-07-09 |
| 1972144566 | Randy Bell Od Pllc | Optometrist | 101 W Walnut St, Rogers, AR 72756-6662 | 2019-10-04 |
| 1881241792 | Radiant Eye Care Optometric Corporation | Optometrist | 1210 Jtl Pkwy E Ste 103, Springdale, AR 72762-7019 | 2019-08-25 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1568024230 | Lawrence Allen King IIi | Optometrist | 4300 Rogers Ave Ste 46, Fort Smith, AR 72903-3152 | 2019-07-02 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1417413717 | Med Southwest, Pllc | Optometrist | 114 E 49th St, Texarkana, AR 71854-2117 | 2019-02-12 |
| 1588120877 | Med Southwest, Pllc | Optometrist | 2510 N Hervey St, Hope, AR 71801-8419 | 2019-02-12 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1023592987 | C Klear Vision Inc. | Optometrist | 12400 Cantrell Rd Ste 4, Little Rock, AR 72223-1728 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
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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.