DR. GREGORY DONALD JACKSON (NPI# 1740334598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740334598 |
| Entity Type | Individual |
| Full Name | DR. GREGORY DONALD JACKSON |
| Credential | O.D. |
| Practice Address |
1960 Essington Rd Suite 102 Joliet IL 60435-1616 |
| Mailing Address |
1051 Grenada Dr Aurora IL 60506-1651 |
| Practice Telephone | 8154368605 |
| Mailing Telephone | 6308593133 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0046006736 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295194124 | Gregory L Jackson | Social Worker | 342 W Progress Rd, Prentiss, MS 39474-5221 | 2016-02-20 |
| 1811170293 | Gregory Emory Jackson | Pharmacist | 526 W 30th Street, Ny, NY 10001 | 2007-12-09 |
| 1801970769 | Gregory Wayne Jackson | Dentist | 6435 S Pulaski Rd, Chicago, IL 60629-5148 | 2006-10-25 |
| 1184738825 | Gregory Mann Jackson | Specialist | 4220 Mccullough Ave, San Antonio, TX 78212-1910 | 2006-08-19 |
| 1134158009 | Gregory Alan Jackson | Physical Therapist | 5501 Swift Rd, Sarasota, FL 34231-6209 | 2006-07-02 |
| 1982640090 | Gregory R Jackson | Radiology | 800 Mercy Hospital, Alegent Mercy Hospital, Council Bluffs, IA 51503 | 2006-06-20 |
| 1356306203 | Gregory Lee Jackson | Specialist/Technologist | 3821 Everetts Dl, Lexington, KY 40514-1185 | 2006-04-20 |
| 1568092088 | Gregory Christopher Jackson | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2020-01-23 |
| 1346747110 | Gregory Jackson | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0004 | 2018-04-09 |
| 1285167304 | Gregory M. Jackson II | Nurse Practitioner | 8600 Wurzbach Rd, Suite 1110, San Antonio, TX 78240-4330 | 2017-04-05 |
| Street Address |
1960 ESSINGTON RD SUITE 102 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063579472 | Ada Vera Paolucci | Podiatrist | 1960 Essington Rd, Suite 103, Joliet, IL 60435-1617 | 2007-01-03 |
| 1588990329 | Gbm Associates Inc | Optometrist | 1960 Essington Rd, Suite 102, Joliet, IL 60435-1616 | 2009-10-29 |
| 1245418847 | Andrew Wahl and Ada Paolucci | Podiatrist | 1960 Essington Rd, Ste 103, Joliet, IL 60435-1617 | 2008-02-06 |
| 1598884330 | Regina Mary Paolucci-delsasso | Dentist | 1960 Essington Rd, Suite 105, Joliet, IL 60435-1616 | 2007-03-29 |
| 1023137353 | Gabriella M Paolucci | Dentist | 1960 Essington Rd, Suite 105, Joliet, IL 60435-1616 | 2007-03-28 |
| 1053478479 | Andrew Vernon Wahl | Podiatrist | 1960 Essington Rd, Suite 103, Joliet, IL 60435-1617 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1497201693 | Monica L Cicimov & Associates Inc | Optometrist | 179 N Chicago St, Joliet, IL 60432-4126 | 2016-08-28 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1194031484 | Jeffrey Lionel Harris | Optometrist | 3033 W Jefferson St Ste 101, Joliet, IL 60435-5249 | 2010-08-24 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| 1720236805 | Eye Boutique Inc | Optometrist | 2239 W. Jefferson Street, Joliet, IL 60435-6303 | 2008-09-03 |
| 1013055656 | Lisa Marie Politza-termunde | Optometrist | 370 Houbolt Rd Ste 102, Joliet, IL 60431-8303 | 2007-02-04 |
| 1366535528 | Mark M Alles | Optometrist | 963 N. 129th Infantry Dr., Suite 110, Joliet, IL 60435 | 2006-10-02 |
| 1144275082 | Sabah Akbar | Optometrist | 3340 Mall Loop Dr, Joliet, IL 60431-1057 | 2006-05-22 |
| 1154375392 | Brian Bouton | Optometrist | 2537 Plainfield Rd, Joliet, IL 60435-1463 | 2006-05-20 |
| Find all providers in JOLIET | ||||
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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.