Jared Jackson (NPI# 1730476730, PAC ID# 1254652738) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1730476730 |
| PAC ID by PECOS | 1254652738 |
| Professional Enrollment ID | I20150609002328 |
| Full Name | Jared Jackson |
| Address |
3431 S Boulevard Suite 105 Edmond OK 73013-5475 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370097 | SOUTHWESTERN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2020 E 15th St, Edmond, OK 73013-6603 | ||
| 3431 S Boulevard, Suite 105, Edmond, OK 73013-5475 | ||
| 5370 Nw Cache Rd, Suite 6, Lawton, OK 73505-3371 | 5805360000 | OKLAHOMA EYE INSTITUTE |
| 5608 Sw Lee Blvd, Lawton, OK 73505-9635 | 5805360000 | OKLAHOMA EYE INSTITUTE |
| 2150 S Douglas Blvd, Suite C, Midwest City, OK 73130-6200 |
| Street Address |
3431 S BOULEVARD SUITE 105 |
| City | EDMOND |
| State | OK |
| Zip | 73013-5475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas C Wolf | Ophthalmology | Dr Thomas Wolf and Associates Pllc | 3431 S Boulevard, Suite 105, Edmond, OK 73013-5514 |
| Brenton J Miller | Optometry | Dr Thomas Wolf and Associates Pllc | 3431 S Boulevard, Suite 105, Edmond, OK 73013-5514 |
| William A Hubbard | Ophthalmology | Dr Thomas Wolf and Associates Pllc | 3431 S Boulevard, Suite 105, Edmond, OK 73013-5514 |
| Tina Gay Joy | Nurse Practitioner | 3431 S Boulevard, Suite 109, Edmond, OK 73013-5514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Senthil K Raju | Family Medicine | 11824 Slash Pine Dr, Edmond, OK 73013-0462 | |
| Dinah S Cloud | Psychologist, Clinical | 929 Nw 164th St, Suite 111, Edmond, OK 73013-1002 | |
| Lori A Fredrick | Diagnostic Radiology | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Joseph Davey | Orthopedic Surgery | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Sara Kathleen Watson | Family Medicine | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Neadum B Odum | Chiropractic | 15100 Traditions Blvd, Suite 1, Edmond, OK 73013-1184 | |
| Ashley D Mathias | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Tanya M Rennie | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Michael Daniel Spieker | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Amer B Nouh | Neurology | 1417 Nw 150th St, Neuro Pain Care, Edmond, OK 73013-1305 | |
| Find all physicians in zip 73013 | |||
| City | EDMOND |
| Zip Code | 73013 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | EDMOND + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jared Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.