JACKSON OCULOFACIAL AND COSMETIC SURGERY PA (NPI# 1689285819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689285819 |
| Entity Type | Organization |
| Organization Name | JACKSON OCULOFACIAL AND COSMETIC SURGERY PA |
| Practice Address |
1213 Hermann Dr Ste 540 Houston TX 77004-7089 |
| Practice Telephone | 4047907628 |
| Mailing Telephone | 4047907628 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | JENELL JACKSON (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 4047907628 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
1213 HERMANN DR STE 540 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-7089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871905463 | Eric Hamill | Ophthalmology | 3833 Southwestern St, Houston, TX 77005-4336 | 2014-05-29 |
| 1619420247 | Oded Sagiv | Ophthalmology | 1400 Pressler St, Unit 1488, Houston, TX 77030-3722 | 2016-08-01 |
| 1235222167 | Plastic Eye Surgery Associates, Pllc | Ophthalmology | 3730 Kirby Dr, Suite 900, Houston, TX 77098-3905 | 2006-10-02 |
| 1659464550 | Charles N Soparkar | Ophthalmology | 3730 Kirby Dr, Suite 900, Houston, TX 77098-3905 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087391 | Tanya T. Khan, Md Pllc | Ophthalmology | 3242 Preston Rd Ste 120, Plano, TX 75093-3320 | 2020-09-10 |
| 1710506902 | Mirwat S. Sami, Md Pa | Ophthalmology | 4747 Bellaire Blvd Ste 347, Bellaire, TX 77401-4519 | 2020-04-08 |
| 1932629490 | Eyelid & Facial Plastic Surgery Associates Pllc | Ophthalmology | 12201 Renfert Way Ste 100, Austin, TX 78758-5367 | 2017-06-26 |
| 1750640231 | Carrie L Morris, Md, Pllc | Ophthalmology | 361 W Southlake Blvd, Ste 120, Southlake, TX 76092-0000 | 2012-05-03 |
| 1497054605 | David Zachary Gay | Ophthalmology | 4316 James Casey Street, Building F, Suite 201, Austin, TX 78745 | 2011-03-28 |
| 1801439484 | Legacy Eyelids & Cosmetic Surgery | Ophthalmology | 601 W Fm 544 Ste 102, Murphy, TX 75094-4232 | 2019-10-25 |
| 1760940431 | Texas Oculoplastic Consultants Pllc | Ophthalmology | 755 S Washington St, Fredericksburg, TX 78624-5022 | 2019-03-12 |
| 1508324278 | Texas Oculoplastic Consultants Pllc | Ophthalmology | 1001 Water St Ste E-100, Kerrville, TX 78028-3761 | 2019-03-12 |
| 1326519208 | Rest Reconstruction Expertise In Surgical Trauma Pllc | Ophthalmology | 911 W 38th St Ste 101, Austin, TX 78705-9918 | 2018-12-17 |
| 1821523283 | Ivan Vrcek Md Pa | Ophthalmology | 9301 N Central Expy Ste 595, Dallas, TX 75231-0812 | 2017-04-24 |
| 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.