GARY CHASE JACKSON


Address: 6030 W University Blvd, Odessa, TX 79764
Phone: 4326406600

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).

Provider Overview

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

Taxonomy

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

Other Providers GARY JACKSON

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

Office Location

Street Address 6030 W UNIVERSITY BLVD
City ODESSA
State TX
Zip Code 79764

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ODESSA
Zip Code 79764

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Dataset Information

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.

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