Mark D Jackson (NPI# 1023015005, PAC ID# 2365331725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1023015005 |
| PAC ID by PECOS | 2365331725 |
| Professional Enrollment ID | I20100615000638 |
| Full Name | Mark D Jackson |
| Organization Legal Name | JACKSON EYECARE, PC |
| Address |
1250 E Magnolia St Fort Collins CO 80524-2702 |
| Phone Number | 9702240606 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7911896378 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1250 E Magnolia St, Fort Collins, CO 80524-2702 | 9702240606 | JACKSON EYECARE, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | JACKSON EYECARE, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ngoc H Phan | Optometry | Jackson Eyecare, PC | 1250 E Magnolia St, Fort Collins, CO 80524-2702 |
| Street Address |
1250 E MAGNOLIA ST |
| City | FORT COLLINS |
| State | CO |
| Zip | 80524-2702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ngoc H Phan | Optometry | Jackson Eyecare, PC | 1250 E Magnolia St, Fort Collins, CO 80524-2702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Traci Wilke | Physician Assistant | Dermatology of Northern Colorado P.C. | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80524 |
| Renee T Dutcher | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Stephanie J Speetzen | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Lori Jean Croft | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Allison Margaret Oleary Williams | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Amy Jeanne Hartley | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Lindsay B Wilson | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Carole Way | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Chelsea N Andrews | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
| Charles L Miller | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
| Find all physicians in zip 80524 | |||
| City | FORT COLLINS |
| Zip Code | 80524 |
| Specialty | OPTOMETRY |
| City + Specialty | FORT COLLINS + OPTOMETRY |
Please comment or provide details below to improve the information on Mark D 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.