Joseph Barry Jackson in Peru - Optometrist
Joseph Barry Jackson - NPI 1649352691
Joseph Barry Jackson is a Optometrist in Peru, Illinois. Joseph Barry Jackson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Joseph Barry Jackson is 1649352691. The last update date is 2014-01-08.
Joseph Barry Jackson's current location address is 3323 Frontage Rd, Peru, Illinois. You can contact this provider via phone number 8152200652 and fax number 8152200732. The mailing address for Joseph Barry Jackson is 3323 Frontage Rd, Peru, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Barry Jackson |
|---|---|
| Address | 3323 Frontage Rd, Peru, Illinois |
| Phone Number | 8152200652 |
| Fax Number | 8152200732 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1649352691 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2014-01-08 |
Provider Mailing Address Detail
| Address | 3323 Frontage Rd |
|---|---|
| City | Peru |
| State | Illinois (IL) |
| Post Code | 613541101 |
| Phone Number | 8152200652 |
| Fax Number | 8152200732 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46007341 |
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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 |
|---|---|---|---|
| CG4165 | IL | MEDICARE RAILROAD | |
| 7215175 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Joseph Barry Jackson's 1649352691?
The Joseph Barry Jackson's NPI (National Provider Identifier) Number is 1649352691. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Joseph Barry Jackson's facilities are situated?
The facilities of Joseph Barry Jackson are physically located at the following address: 3323 Frontage Rd, Peru, IL, 613541101.
What is Joseph Barry Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joseph Barry Jackson is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did Joseph Barry Jackson receive its 1649352691 assignment?
The Joseph Barry Jackson was assigned its 1649352691 on 2006-10-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Joseph Barry Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joseph Barry Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-01-08.
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