Monique Antonia Jackson (NPI# 1891178281, PAC ID# 7618283789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1891178281 |
| PAC ID by PECOS | 7618283789 |
| Professional Enrollment ID | I20150903002139 |
| Full Name | Monique Antonia Jackson |
| Organization Legal Name | EYES ON CANAL LLC |
| Address |
4205 Canal St Suite B New Orleans LA 70119-5942 |
| Phone Number | 5047777780 |
| Gender | F |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8628336542 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 4205 Canal St, Suite B, New Orleans, LA 70119-5942 | 5047777780 | EYES ON CANAL LLC |
| Organization Legal Name | EYES ON CANAL LLC |
| Physicians | 1 |
| Street Address |
4205 CANAL ST SUITE B |
| City | NEW ORLEANS |
| State | LA |
| Zip | 70119-5942 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight L Mckenna | General Practice | 1827 Gentilly Blvd, New Orleans, LA 70119-2051 | |
| Jarrett A Johnson | Optometry | 1530 N Broad St, New Orleans, LA 70119-2334 | |
| Kitrina G Cordell | Oral Surgery | Lsu Health Sciences Center Lsu Faculty Dental Practice | 1100 Florida Ave, New Orleans, LA 70119-2715 |
| Molly S Rosebush | Oral Surgery | Lsu Health Sciences Center Lsu Faculty Dental Practice | 1100 Florida Ave, New Orleans, LA 70119-2715 |
| Monica M Mills-mattox | Clinical Social Worker | 3443 Esplanade Ave, 309 Home Office, New Orleans, LA 70119-2985 | |
| Emmett Bernard Chapital Jr. | Cardiovascular Disease (cardiology) | 1221 N Broad St, New Orleans, LA 70119-3302 | |
| Candita R Thompson | Nurse Practitioner | Capital City Medical Group, L.L.C. | 1215 N Broad St, Primary Care Plus, New Orleans, LA 70119-3302 |
| Thaddeus R Temple | Internal Medicine | Capital City Medical Group, L.L.C. | 1215 N Broad St, Primary Care Plus, New Orleans, LA 70119-3302 |
| Alison D Schreefel | Clinical Social Worker | 4833 Conti St, Suite 209, New Orleans, LA 70119-4369 | |
| Patricia R Hickham | Dermatology | 4141 Bienville St, Suite 108, New Orleans, LA 70119-5149 | |
| Find all physicians in zip 70119 | |||
| City | NEW ORLEANS |
| Zip Code | 70119 |
| Specialty | OPTOMETRY |
| City + Specialty | NEW ORLEANS + OPTOMETRY |
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| 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.