DR. TODD LINCOLN JACKSON (NPI# 1609063775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609063775 |
| Entity Type | Individual |
| Full Name | DR. TODD LINCOLN JACKSON |
| Credential | M.D. |
| Practice Address |
7190 Smoke Ranch Rd Ste 110 Las Vegas NV 89128-8398 |
| Mailing Address |
7190 Smoke Ranch Rd Ste 110 Las Vegas NV 89128-8398 |
| Practice Telephone | 7028252085 |
| Practice Fax Number | 7028525743 |
| Mailing Telephone | (702) 472-9902 |
| Mailing Fax Number | 7028232135 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 13385 | NV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4900 E Bonanza Rd, Las Vegas, NV 891103505 | 7028252085 | 7028525743 |
| 2390 W Horizon Ridge Pkwy, Henderson, NV 890525079 | 7028252085 | 7028525743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627225 | Todd Jackson Jr. | Student in an Organized Health Care Education/Training Program | 531 Asbury Cir Ste N340, Atlanta, GA 30322-1006 | 2020-04-07 |
| Street Address |
7190 SMOKE RANCH RD STE 110 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-8398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699048512 | Jackson Ophthalmology Group Ltd | Ophthalmology | 7190 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-8398 | 2012-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084073 | Trinoveon Corporation | Ophthalmology | 2700 Las Vegas Blvd S Unit 4105, Las Vegas, NV 89109-1174 | 2019-07-11 |
| 1558825687 | Eyecare Associates | Ophthalmology | 2010 Festival Plaza Dr Ste 195, Las Vegas, NV 89135-1455 | 2019-01-23 |
| 1164800827 | Tigran Kostanyan | Ophthalmology | 2110 E Flamingo Rd Ste 210, Las Vegas, NV 89119-5193 | 2015-05-14 |
| 1003251950 | Matthew Swanic M.d., Pllc | Ophthalmology | 9555 S Eastern Ave Ste 250, Las Vegas, NV 89123-8008 | 2013-05-06 |
| 1487914099 | Mazeyar Saboori | Ophthalmology | 5556 S Fort Apache Rd, Las Vegas, NV 89148-7696 | 2012-05-17 |
| 1417214313 | Wonchon Lin | Ophthalmology | 5380 S Rainbow Blvd Ste 108, Las Vegas, NV 89118-1878 | 2012-04-16 |
| 1679839690 | Janice E Eggert Md Ltd | Ophthalmology | 1771 E Flamingo Rd Ste 214a, Las Vegas, NV 89119-0850 | 2012-04-03 |
| 1497023105 | Leslie M Sims Md Pllc | Ophthalmology | 9360 W Flamingo Rd Ste 110, Las Vegas, NV 89147-6446 | 2011-12-08 |
| 1528299377 | Nelson Nerveza Lopez | Ophthalmology | 3100 W Charleston Blvd Ste 204, Las Vegas, NV 89102-1996 | 2009-07-28 |
| 1578791372 | Tyson S.j. Ward | Ophthalmology | 6980 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-8606 | 2009-06-30 |
| Find all providers in LAS VEGAS | ||||
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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.