JAY JACKSON OD PC (NPI# 1811328123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811328123 |
| Entity Type | Organization |
| Organization Name | JAY JACKSON OD PC |
| Practice Address |
5500 Abercorn St Ste 24 12 Oaks Shopping Center Savannah GA 31405-6917 |
| Mailing Address |
23 Monastery Rd Savannah GA 31411-1737 |
| Practice Telephone | 9123523478 |
| Mailing Telephone | 9123980418 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | DR. JAY JACKSON (OWNER) |
| Authorized Official Telephone | 9123523478 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT001191 | GA | Eye and Vision Services Providers |
| Street Address |
5500 ABERCORN ST STE 24 12 OAKS SHOPPING CENTER |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
|---|---|---|---|---|
| 1386112167 | Myeyedr Optometry of Georgia, LLC | Optometrist | 7203 Hodgson Memorial Dr Ste A, Savannah, GA 31406-1525 | 2018-11-09 |
| 1659813756 | Nikita Desai | Optometrist | 318 Mall Blvd # 600, Savannah, GA 31406-4797 | 2016-11-07 |
| 1265881627 | Erika Marie Morrow | Optometrist | 350 Martin Luther King Jr Blvd, Savannah, GA 31401-4386 | 2016-06-07 |
| 1659779130 | Daniel, Max & Marcandrea, LLC | Optometrist | 6868 Abercorn St, Savannah, GA 31405-5835 | 2014-12-15 |
| 1427359959 | Coastal Georgia Eyecare, LLC | Optometrist | 1 Diamond Cswy, Suite 21, Savannah, GA 31406-7417 | 2010-11-15 |
| 1598934911 | Lewis Steinfeld | Optometrist | 101 W. Broughton Street, Savannah, GA 31401-3211 | 2008-02-29 |
| 1861619660 | Wm Brent Walker | Optometrist | 3 River Walk, Savannah, GA 31410-1563 | 2007-04-20 |
| 1164549366 | Myeyedr Optometry of Georgia, LLC | Optometrist | 14045 Abercorn St Ste 31, Savannah Mall, Savannah, GA 31419-1978 | 2007-03-23 |
| 1831233279 | Nancy Elizabeth Gresham | Optometrist | 7810 Abercorn St, Sears Optical, Savannah, GA 31406-2440 | 2007-02-19 |
| 1245386267 | Jay Michael Johansen | Optometrist | 14045 Abercorn St, Savannah, GA 31419-1957 | 2007-01-25 |
| Find all providers in SAVANNAH | ||||
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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.