DR. RICHARD PHARUS JACKSON (NPI# 1972616134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972616134 |
| Entity Type | Individual |
| Full Name | DR. RICHARD PHARUS JACKSON |
| Credential | O.D. |
| Practice Address |
216 W Washington St Anthony TX 79821-9304 |
| Practice Telephone | 9158863005 |
| Practice Fax Number | 9158863005 |
| Mailing Telephone | 9158863005 |
| Mailing Fax Number | 9158863005 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4023T | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629520770 | Richard Allen Jackson | Social Worker | 201 W Laurel St, Brainerd, MN 56401-3902 | 2016-10-25 |
| 1386924363 | Richard Ray Jackson | Social Worker | 104 S Ridge Ave, Troy, OH 45373-2704 | 2011-08-23 |
| 1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
| 1508081993 | Richard Jackson | Psychiatry & Neurology | E 4111 Andover Road Suite 220, Bloomfield Hills, MI 48302 | 2007-04-13 |
| 1851478101 | Richard Jackson | Pharmacist | 420 Delaware St Se # Mmc812, Minneapolis, MN 55455-0341 | 2006-11-01 |
| 1801810163 | Richard Edwin Jackson | Dentist | 109 Timbermill Dr, Lexington, SC 29073-7138 | 2006-07-27 |
| 1366483406 | Richard D Jackson | Family Medicine | 29 Eastbrook Rd, Ronks, PA 17572-9769 | 2006-06-09 |
| 1659328060 | Richard Jackson | Emergency Medicine | 505 Regency Xing, Southlake, TX 76092-9501 | 2006-05-30 |
| 1174587505 | Richard E Jackson | Physician Assistant | 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952-6742 | 2006-04-13 |
| 1629046339 | Richard K Jackson | Dentist | 1975 Sansburys Way Ste 112, West Palm Beach, FL 33411-1928 | 2006-03-09 |
| Street Address |
216 W WASHINGTON ST |
| City | ANTHONY |
| State | TX |
| Zip Code | 79821-9304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114446986 | Anil Vuggam Dmd Pllc | Dentist | 124 Franklin Street, Anthony, TX 79821 | 2017-09-13 |
| 1457772923 | Jose Humberto Enriquez Sr. | Clinical Nurse Specialist | 8500 Doniphan Road, Anthony, TX 79821 | 2013-12-30 |
| 1699002469 | Jonathan Ushio Ugege | Pharmacist | 816 Franklin St Ste A, Anthony, TX 79821 | 2009-11-16 |
| 1639392533 | El Paso Vinton Diagnostic Pa | Radiology | 7930 Doniphan Rd, Vinton, TX 79821 | 2007-04-10 |
| 1558488718 | Kirk A. Chandler, Do Pa | Family Medicine | 929 S. Main, B, Anthony, TX 79821 | 2007-03-23 |
| 1376608885 | Samuel A Gurrola | Pharmacy | 929 S. Main St, Anthony, TX 79821 | 2006-12-26 |
| 1154320604 | Moises Gotbeter | Dentist | 925 South Main St. #8, Anthony, TX 79821 | 2005-07-18 |
| 1881892255 | Anthony Isd | Counselor | 610 6th St, Anthony, TX 79821-5026 | 2007-07-06 |
| 1174904163 | Benjamin Snyder | Specialist/Technologist | 840 6th St, Anthony, TX 79821-7124 | 2015-06-15 |
| 1144474701 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1432 Antonio St, Anthony, TX 79821-7146 | 2008-11-10 |
| Find all providers in zip 79821 | ||||
| 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 |
|---|---|---|---|---|
| 1194743096 | Daniel Marchant | Optometrist | 707 W Main St, Anthony, KS 67003-2752 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1750981684 | Joel George | Optometrist | 6418 Eckhert Rd Apt 4206, San Antonio, TX 78240-3142 | 2020-10-29 |
| 1104425743 | Lara Fady | Optometrist | 13614 Meridian Springs Ln, Houston, TX 77077-2123 | 2020-10-24 |
| 1295334001 | Eye Room Pllc | Optometrist | 17659 Fishtrap Road, Ste 30, Prosper, TX 75078-7507 | 2020-10-22 |
| 1699374538 | Daniel Max & Marc Andrea LLC | Optometrist | 1051 Silber Rd, Houston, TX 77055-7134 | 2020-10-21 |
| 1922607902 | Glimpse Eye Care | Optometrist | 26435 Kuykendahl Rd Ste 800, Tomball, TX 77375-1855 | 2020-10-21 |
| 1831798016 | Birds Eye View Optometry - League City Pllc | Optometrist | 1355 E League City Pkwy Ste 200, League City, TX 77573-7095 | 2020-10-20 |
| 1720687056 | Judy Hoang | Optometrist | 8910 Bandera Rd Ste 105, San Antonio, TX 78250-3227 | 2020-10-19 |
| 1922607274 | Danielle Nimeh | Optometrist | 6636 Lake Worth Blvd Ste 300, Lake Worth, TX 76135-3029 | 2020-10-19 |
| 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.