PAUL BRIAN JACKSON (NPI# 1598706855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598706855 |
| Entity Type | Individual |
| Full Name | PAUL BRIAN JACKSON |
| Credential | OD |
| Practice Address |
6825 Parker Farm Dr Wilmington NC 28405-3168 |
| Mailing Address |
7100 Six Forks Rd Suite 301 Raleigh NC 27615-6156 |
| Practice Telephone | 9104520554 |
| Practice Fax Number | 9104520767 |
| Mailing Telephone | 9198470187 |
| Mailing Fax Number | 9196762231 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1294 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE RAILROAD CARRIER | P00789509 | 01 |
| NC | 809042B | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 093VY | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112522 | Paul A Jackson | Psychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2019-06-12 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1639435019 | Paul Jackson | Adult Companion | 2229 Pueblo Dr, Garland, TX 75040-4328 | 2012-04-10 |
| 1609005172 | Paul A Jackson Jr. | Counselor | 5117 Andrea Blvd, Suite 86, Sacramento, CA 95842-2518 | 2009-07-06 |
| 1467688564 | Paul S. Jackson | Student in an Organized Health Care Education/Training Program | 26 South 200 East, Suite 5900, Salt Lake City, UT 84112 | 2009-06-03 |
| 1043462815 | Paul Jackson | Driver | 34401 Calgary Ter, Fremont, CA 94555-2916 | 2008-10-10 |
| 1154435899 | Paul Thomas Jackson Jr. | Internal Medicine | 4550 Lamar Ave, Suite 200, Paris, TX 75462-5124 | 2006-08-19 |
| 1053322974 | Paul D Jackson | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2006-08-10 |
| 1053330704 | Paul Maurice Jackson | Internal Medicine | 20271 Merrick Dr, Saratoga, CA 95070-4960 | 2006-07-19 |
| 1942290606 | Paul Dennis Jackson | Psychiatry & Neurology | 2065 21st St Se Apt O, Hickory, NC 28602-3479 | 2005-10-25 |
| Street Address |
6825 PARKER FARM DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508414582 | Meghan Dalziel | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2019-09-03 |
| 1942603121 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2014-10-02 |
| 1124432265 | Neha K Dalal | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2014-06-17 |
| 1376609818 | Wilmington Eye Care Associates Od | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| Find all providers in zip 28405 | ||||
| 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 |
|---|---|---|---|---|
| 1720633209 | Primary Vision Care of Mount Vernon Inc | Optometrist | 2079 Rombach Ave, Wilmington, OH 45177-1996 | 2019-08-02 |
| 1114490232 | Daniel & Max, LLC | Optometrist | 317 S College Rd Ste 1, Wilmington, NC 28403-1885 | 2019-01-11 |
| 1104397959 | Toocheck Mobile De Opt LLC | Optometrist | 251 Little Falls Dr, Wilmington, DE 19808-1674 | 2018-12-05 |
| 1821481367 | Thomas Hufnal | Optometrist | 100 West 10th Street- Suite 115, Wilmington, DE 19899 | 2015-03-09 |
| 1417345745 | Kathleen Mary O'donnell | Optometrist | 4605 Kirkwood Hwy Ste A, Wilmington, DE 19808-5005 | 2015-01-09 |
| 1114320298 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 5619 Carolina Beach Rd Ste 110, Wilmington, NC 28412-2814 | 2014-10-02 |
| 1932501061 | Opticare Vision Centers, LLC | Optometrist | 151 W. Main St., Wilmington, OH 45177-2238 | 2014-09-19 |
| 1134520687 | Caroline Therese Peterson | Optometrist | 344 S College Rd, Wilmington, NC 28403-1632 | 2014-09-15 |
| 1427390533 | Halpern Eye Associates, P. A. | Optometrist | 4605 Kirkwood Hwy, Suite A, Wilmington, DE 19808-5005 | 2013-03-27 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
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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.