GEORGE JACKSON (NPI# 1659755486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659755486 |
| Entity Type | Individual |
| Full Name | GEORGE JACKSON |
| Practice Address |
5000 Se Burning Tree Cir Stuart FL 34997-8701 |
| Practice Telephone | 7726315813 |
| Practice Fax Number | 7722869514 |
| Mailing Telephone | 7726315813 |
| Mailing Fax Number | 7722869514 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 80921 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720386089 | George Anthony Jackson | Pharmacist | 1333 5th Ave, Garner, NC 27529-3637 | 2011-03-09 |
| 1295987568 | George F. Jackson Jr. | Dentist | 1000 N Main St Ste 5, Lansing, KS 66043-1315 | 2008-10-17 |
| 1497824304 | George Woody Jackson | Internal Medicine | 1440 Highway 62 412, Highland, AR 72542-9497 | 2006-11-06 |
| 1770517666 | George M Jackson | Emergency Medicine | 1030 Nevin Ave, Richmond, CA 94801-3122 | 2006-07-10 |
| 1124369863 | George Hagan Jackson | Psychiatry & Neurology | 5231 Hickory Park Dr, Suite D, Glen Allen, VA 23059-2619 | 2013-03-05 |
| 1578777876 | George Darryl Jackson | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30045-8444 | 2007-05-09 |
| 1932320124 | George Jackson | Spec/Tech, Pathology | 130 West Kingsbridge Road, Bronx V.a. Medical Center, Bronx, NY 10468-3904 | 2007-05-02 |
| 1477690089 | George Thomas Jackson Jr. | Nurse Anesthetist, Certified Registered | 244 Smith Church Rd, Roanoke Rapids, NC 27870-4956 | 2007-01-31 |
| 1932245032 | George F. Jackson IIi | Psychiatry & Neurology | 5909 Orchard St W, Tacoma, WA 98467-3824 | 2007-01-29 |
| 1689690539 | George Robert Jackson | Psychiatry & Neurology | 300 Medical Plaza, #b200, Los Angeles, CA 90095-0001 | 2006-07-14 |
| Street Address |
5000 SE BURNING TREE CIR |
| City | STUART |
| State | FL |
| Zip Code | 34997-8701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| 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 |
|---|---|---|---|---|
| 1659529055 | Walid Mangal | Ophthalmology | 1050 Se Monterey Road, Suite #104, Florida Vision Institute Inc., Stuart, FL 34994 | 2008-08-28 |
| 1144484106 | Carrie Ann Palmer | Ophthalmology | 1441 Se Ocean Blvd, Stuart, FL 34996-2613 | 2008-07-17 |
| 1457384331 | Paul D Pare' | Ophthalmology | 304 Se Hospital Ave, Stuart, FL 34994-2338 | 2006-07-07 |
| 1861423899 | Scott Douglas Piette | Ophthalmology | 509 Se Riverside Dr Ste 302, Stuart, FL 34994-2579 | 2006-07-06 |
| 1164483301 | Quentin B Allen | Ophthalmology | 1050 Se Monterey Rd Ste 104, Stuart, FL 34994-4512 | 2006-03-29 |
| 1043283195 | Stuart Eye Institute Pa | Ophthalmology | 2090 Se Ocean Blvd, Stuart, FL 34996 | 2006-02-09 |
| 1790784270 | Jack Steven Daubert | Ophthalmology | 1050 Se Monterry Rd, Ste #104, Stuart, FL 34994-4512 | 2005-07-18 |
| 1053775346 | Ryan David O'meilia | Ophthalmology | 2090 Se Ocean Blvd, Stuart, FL 34996-3304 | 2016-04-12 |
| 1043680770 | Shuster Eye Pa | Ophthalmology | 2220 Se Ocean Blvd, Suite 101, Stuart, FL 34996-3301 | 2015-10-07 |
| 1528363397 | Leonard Berg | Ophthalmology | 417 Se Balboa Ave, Stuart, FL 34994-2327 | 2011-01-25 |
| Find all providers in STUART | ||||
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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.