Ronald M Jackson in Wichita - Optometrist

Ronald M Jackson - NPI 1649377284

Ronald M Jackson is a Optometrist in Wichita, Kansas. Ronald M Jackson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ronald M Jackson is 1649377284. The last update date is 2012-03-30.

Ronald M Jackson's current location address is 982 N Tyler Rd, Wichita, Kansas. You can contact this provider via phone number 3167226452 and fax number 3167226001. The mailing address for Ronald M Jackson is 982 N Tyler Rd, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald M Jackson
Address 982 N Tyler Rd, Wichita, Kansas
Phone Number 3167226452
Fax Number 3167226001
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1649377284
Provider Enumeration Date 2006-09-17
Last Updated Date 2012-03-30

Provider Mailing Address Detail

Address 982 N Tyler Rd
City Wichita
State Kansas (KS)
Post Code 672123271
Phone Number 3167226452
Fax Number 3167226001

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 0982-3
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
410020388 KS RAILROAD MEDICARE
327130001 KS DMERC

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FAQs about Ronald M Jackson

What is the unique 10-digit identification code assigned to Ronald M Jackson by the Centers for Medicare & Medicaid Services?

The Ronald M Jackson has been issued the NPI (National Provider Identifier) 1649377284, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Ronald M Jackson is located?

The Ronald M Jackson is situated at the following address: 982 N Tyler Rd, Wichita, KS, 672123271.

What is the Ronald M Jackson's specialty and taxonomy code?

The Ronald M Jackson's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1649377284 to Ronald M Jackson?

The Ronald M Jackson received its 1649377284 assignment from the Centers for Medicare & Medicaid Services on 2006-09-17.

As of what date was the information regarding Ronald M Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ronald M Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-30.

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