JACKSON EYE CARE, INC (NPI# 1912181967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912181967 |
| Entity Type | Organization |
| Organization Name | JACKSON EYE CARE, INC |
| Other Organization Name | RUSSELL B JACKSON OD |
| Practice Address |
210 S 100 W Fillmore UT 84631 |
| Mailing Address |
Po Box 73 Fillmore UT 84631-0073 |
| Practice Telephone | 4357436572 |
| Practice Fax Number | 4357435558 |
| Mailing Telephone | 4357436572 |
| Mailing Fax Number | 4357435558 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | RUSSELL B JACKSON (OWNER OPERATOR) |
| Authorized Official Telephone | 4357436572 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 375344-9934 | UT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 528882505001 | 05 |
| Other Name | Type Code |
|---|---|
| RUSSELL B JACKSON OD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114100740 | Jackson Eye Care, Inc | Optometrist | 51 E 400 N, Suite 4a, Cedar City, UT 84720-2686 | 2007-12-05 |
| Street Address |
210 S 100 W |
| City | FILLMORE |
| State | UT |
| Zip Code | 84631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891176871 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 210 S 100 W, Fillmore, UT 84631-2512 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275726788 | Delta Physical Therapy and Sports Medicine PC | Occupational Therapist | 770 S Highway 99, Suite A, Fillmore, UT 84631 | 2007-08-20 |
| 1205957586 | Marilee Wood | Counselor | 65 West Center, Fillmore, UT 84631 | 2007-04-03 |
| 1124148424 | Merla Rutherford | Counselor | 65 W Center, Fillmore, UT 84631 | 2007-03-30 |
| 1609901818 | Linda Stephenson | Registered Nurse | 50 South 400 West, Fillmore, UT 84631 | 2007-02-21 |
| 1750466678 | Jan Bruce Beckstrand | Dentist | 140 South Main Street, Fillmore, UT 84631 | 2006-10-26 |
| 1023025939 | Jon Y. Moody | Dentist | 55 S Main, #3, Fillmore, UT 84631 | 2006-08-02 |
| 1710993506 | Central Utah Mental Health Substance Abuse | Counselor | 65 West Center Street, Fillmore, UT 84631 | 2006-07-31 |
| 1467865840 | Scott Robert Allen | Physical Therapist | 770 S Highway 99, Fillmore, UT 84631 | 2014-06-03 |
| 1851632095 | Jacob D Finlinson, D.d.s, LLC | Dentist | 140 South Main, Fillmore, UT 84631 | 2013-03-13 |
| 1639312721 | Klint Hughes | Counselor | 65 West Center, Fillmore, UT 84631 | 2009-04-20 |
| Find all providers in zip 84631 | ||||
| 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 |
|---|---|---|---|---|
| 1336202225 | Heritage Valley Eye Care Optometric Center | Optometrist | 414 Central Ave, Fillmore, CA 93015-1330 | 2006-12-19 |
| 1922008663 | Russell B Jackson | Optometrist | 210 S 100 E, Fillmore, UT 84631-2500 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1104443159 | National Vision Inc | Optometrist | 1917 W 1800 N Ste D1, Clinton, UT 84015-8558 | 2020-06-25 |
| 1295350247 | Victoria Nielsen | Optometrist | 4934 S Plymouth View Dr, Taylorsville, UT 84123-4204 | 2020-06-15 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1013532894 | Meagan Miles | Optometrist | 1752 W 400 N Apt B, Salt Lake City, UT 84116-3546 | 2020-06-08 |
| 1669096020 | Thomas Edward Clark | Optometrist | 3672 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7172 | 2020-06-02 |
| 1225651011 | Bethany Ruth Gillett | Optometrist | 3029 S Colt Plaza Dr Ste 1, West Valley City, UT 84128-4015 | 2020-05-27 |
| 1881217446 | Collin Robert Gray | Optometrist | 75 W State St, Lehi, UT 84043-1546 | 2020-05-18 |
| 1841820792 | Clifford Parker | Optometrist | 4283 Harrison Blvd, Ogden, UT 84403-3101 | 2020-01-20 |
| 1598303075 | Choice Eye Center, LLC | Optometrist | 12272 S 800 E Ste 100a, Draper, UT 84020-9776 | 2019-12-16 |
| 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.