GARY CHASE JACKSON (NPI# 1992119838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992119838 |
Entity Type | Individual |
Full Name | GARY CHASE JACKSON |
Credential | O.D. |
Practice Address |
6030 W University Blvd Odessa TX 79764 |
Mailing Address |
Po Box 2129 Odessa TX 79760-2129 |
Practice Telephone | 4326406600 |
Mailing Telephone | 4326402408 |
Mailing Fax Number | 4326404606 |
Enumeration Date | 2014-06-18 |
Last Update Date | 2014-09-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 8568 | TX | Eye and Vision Services Providers |
N | 152W00000X | Optometrist | ODP-100307 | ID | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033462932 | Gary D Jackson | Counselor | 4610 Santa Anita Blvd, Suite D, El Monte, CA 91731 | 2012-10-17 |
1720317688 | Gary Howard Jackson | Orthopaedic Surgery | 38 Bent Pebble Pt, Lumberton, MS 39455-9037 | 2009-12-23 |
1578692331 | Gary L. Jackson | Internal Medicine | Lincoln County Medical Center, 211 Sudderth, Ruidoso, NM 88345 | 2007-03-05 |
1447237839 | Gary Lee Jackson | Chiropractor | 20595 Sw Tv Hwy #102, Ste 102, Aloha, OR 97006 | 2005-12-27 |
1609426022 | Gary Dean Jackson | Pharmacist | 11340 Three Rivers Rd Ste A, Gulfport, MS 39503-3650 | 2019-09-17 |
1154528263 | Gary Wayne Jackson | Physician Assistant | 1804 College Ave, Levelland, TX 79336-6507 | 2007-07-02 |
1447473772 | Gary Jackson | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2007-04-11 |
1700884947 | Gary L Jackson | Nurse Anesthetist, Certified Registered | 4100 Summerhill Rd, Texarkana, TX 75503-2732 | 2005-07-12 |
Street Address |
6030 W UNIVERSITY BLVD |
City | ODESSA |
State | TX |
Zip Code | 79764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376807362 | Mavis Twum-barimah | Family Medicine | 6030 W University Blvd, Odessa, TX 79764-8530 | 2012-06-25 |
1184261950 | Christian Richardson | Nurse Practitioner | 6030 W University Blvd, Odessa, TX 79764-8530 | 2019-11-29 |
1386289833 | Juliet Arihi | Nurse Practitioner | 6030 W University Blvd, Odessa, TX 79764-8530 | 2019-11-07 |
1194288332 | Edak Akan | Nurse Practitioner | 6030 W University Blvd, Odessa, TX 79764-8530 | 2019-04-12 |
1679074488 | Dayanelie Reyes | Physician Assistant | 6030 W University Blvd, Odessa, TX 79764-8530 | 2018-02-27 |
1093254740 | Beverly Mariel Gifford | Nurse Practitioner | 6030 W University Blvd, Odessa, TX 79764-8530 | 2017-02-14 |
1558715201 | Ector County Hospital District | Clinic/Center | 6030 W University Blvd, 6030 W University Blvd, Odessa, TX 79764-8530 | 2016-04-19 |
1942675145 | Emily N. Sullivan | Physician Assistant | 6030 W University Blvd, Odessa, TX 79764-8530 | 2015-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710466610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3050 W University Blvd, Odessa, TX 79764 | 2018-08-10 |
1962897405 | H-e-b, Lp | Clinical Medical Laboratory | 2501 W. University Blvd, Odessa, TX 79764 | 2015-04-01 |
1184022758 | Md Moinul Islam | Physician Assistant | 6030 W. University, Odessa, TX 79764 | 2014-12-15 |
1962618637 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 10036 West Westland Drive, Odessa, TX 79764 | 2007-05-16 |
1609128594 | Amanda Lynn Paradeaux | Nurse Practitioner | 3001 W University Blvd, Odessa, TX 79764 | 2012-10-03 |
1760619498 | Cindy A Smith | Speech-Language Pathologist | 8712 Claymoor Dr, Odessa, TX 79764-1252 | 2009-06-21 |
1003316084 | Maranda Pina Garza | Licensed Vocational Nurse | 24 Bookins Ct, Odessa, TX 79764-1401 | 2018-02-16 |
1255378717 | United Supermarkets LLC | Durable Medical Equipment & Medical Supplies | 2751 N County Rd W, Odessa, TX 79764-1665 | 2006-06-01 |
1578112454 | Shaikat Banerjee | Pharmacist | 2751 N County Rd W, Odessa, TX 79764-1665 | 2019-09-04 |
1821598939 | Maichel Roshdy | Pharmacist | 2751 N County Rd W, Odessa, TX 79764-1665 | 2018-02-15 |
Find all providers in zip 79764 |
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 |
---|---|---|---|---|
1821648502 | Rgv Eye Center LLC | Optometrist | 2260 Linda Ave Ste 201, Odessa, TX 79763-2663 | 2019-09-16 |
1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
1205205408 | Mary Cairnie | Optometrist | 6018 Eastridge Rd # B, Odessa, TX 79762-5056 | 2015-09-17 |
1457762643 | Aaron R Urias | Optometrist | 4214 John Ben Shepperd Pkwy, Odessa, TX 79762-8153 | 2014-05-10 |
1790010312 | Primary Care and Parasurgical Ophthalmic Services, Inc. | Optometrist | 3600 Billy Hext Rd., Ste 102, Odessa, TX 79765-8992 | 2009-10-15 |
1104003631 | Dennis Linsey Od Pa | Optometrist | 17633 Gunn Hwy, Suite 364, Odessa, FL 33556-1912 | 2008-01-28 |
1295920973 | Lawrence David Lassa | Optometrist | 420 N Grant Ave, Odessa, TX 79761-5156 | 2007-09-06 |
1336217504 | Maria G Ceballos | Optometrist | 4702 E University Blvd, Odessa, TX 79762-8105 | 2006-12-04 |
1255425880 | Francisco Javier Morales | Optometrist | 3863 E 42nd St, Odessa, TX 79762-5947 | 2006-10-03 |
Find all providers in ODESSA |
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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.