Michael Wayne Jackson in Oakland - Optometrist
Michael Wayne Jackson - NPI 1174593388
Michael Wayne Jackson is a Optometrist in Oakland, California. Michael Wayne Jackson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael Wayne Jackson is 1174593388. The last update date is 2007-07-08.
Michael Wayne Jackson's current location address is 1741 Broadway, Oakland, California. You can contact this provider via phone number 5108358344 and fax number 5108358346. The mailing address for Michael Wayne Jackson is 1741 Broadway, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Wayne Jackson |
|---|---|
| Address | 1741 Broadway, Oakland, California |
| Phone Number | 5108358344 |
| Fax Number | 5108358346 |
| Sole Proprietor | X |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1174593388 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1741 Broadway |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946122105 |
| Phone Number | 5108358344 |
| Fax Number | 5108358346 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 6056T |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0060560 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Wayne Jackson by the Centers for Medicare & Medicaid Services?
The Michael Wayne Jackson has been issued the NPI (National Provider Identifier) 1174593388 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Michael Wayne Jackson is geographically located?
The Michael Wayne Jackson is physically situated at the following location: 1741 Broadway, Oakland, CA, 946122105.
What is Michael Wayne Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael Wayne Jackson is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174593388 to Michael Wayne Jackson?
The Michael Wayne Jackson received its 1174593388 assignment from the Centers for Medicare & Medicaid Services on 2006-01-23.
When was the information regarding Michael Wayne Jackson most recently updated?
The details pertaining to the Michael Wayne Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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