DEVIN JACKSON (NPI# 1720574544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720574544 |
| Entity Type | Individual |
| Full Name | DEVIN JACKSON |
| Practice Address |
3958 N Academy Blvd Ste 108 Colorado Springs CO 80917-5911 |
| Mailing Address |
3425 Austin Bluffs Pkwy Ste 108 Colorado Springs CO 80918-5723 |
| Practice Telephone | 7199998404 |
| Practice Fax Number | 7199998402 |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0003396 | CO | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Main St, Canon City, CO 812123739 | 7194316434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003865 | Devin S Jackson | Pharmacist | 1311 E Draper Pkwy, Draper, UT 84020-8567 | 2020-08-12 |
| 1851866636 | Devin M Jackson | Case Manager/Care Coordinator | 1751 E Long St, Columbus, OH 43203-2045 | 2018-10-09 |
| Street Address |
3958 N ACADEMY BLVD STE 108 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386843 | Blair Vision Care, LLC | Optometrist | 3958 N Academy Blvd Ste 108, Colorado Springs, CO 80917-5911 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| 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 |
|---|---|---|---|---|
| 1780283564 | Eye Love Care Inc | Optometrist | 1455 S Chelton Rd, Colorado Springs, CO 80910-1663 | 2020-10-22 |
| 1538708052 | Bauer Eyecare Pllc | Optometrist | 3625 Star Ranch Rd, Colorado Springs, CO 80906-5980 | 2020-01-01 |
| 1104460682 | Optimism Eye Care Co Pllc | Optometrist | 4130 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2928 | 2019-10-29 |
| 1881256147 | Eye Love Care Inc | Optometrist | 4465 Northpark Dr Ste 208, Colorado Springs, CO 80907-4238 | 2019-07-07 |
| 1063073245 | Jade Mclachlin | Optometrist | 3532 Van Teylingen Dr Apt C, Colorado Springs, CO 80917-4822 | 2019-06-27 |
| 1588225130 | Katherine Austin Barton | Optometrist | 1803 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4027 | 2019-06-25 |
| 1447818869 | Allison Anne Ruehlen | Optometrist | 4195 Centennial Blvd, Colorado Springs, CO 80907-3767 | 2019-05-31 |
| 1386116168 | Infocus Eye Care, Pllc | Optometrist | 1234 E Woodmen Rd Unit 120, Colorado Springs, CO 80920-8248 | 2018-12-18 |
| 1508383126 | Abba Dry Eye & Allergy Clinic, P.C. | Optometrist | 4465 Northpark Dr Ste 206, Colorado Springs, CO 80907-4238 | 2017-08-24 |
| 1598294233 | Bergamo, P.C. | Optometrist | 11550 Ridgeline Dr Unit 106, Colorado Springs, CO 80921-3953 | 2017-06-07 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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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.