Tracy A Jackson is a Optometrist in Waconia, Minnesota. Tracy A Jackson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Tracy A Jackson is 1821177692. The last update date is 2007-07-08.
Tracy A Jackson's current location address is 424 W State Highway 5, Waconia, Minnesota. You can contact this provider via phone number 9524424461 and fax number 9524421218. The mailing address for Tracy A Jackson is 424 W State Highway 5, Waconia, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracy A Jackson |
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Address | 424 W State Highway 5, Waconia, Minnesota |
Phone Number | 9524424461 |
Fax Number | 9524421218 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1821177692 |
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Provider Enumeration Date | 2006-11-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 424 W State Highway 5 |
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City | Waconia |
State | Minnesota (MN) |
Post Code | 553871723 |
Phone Number | 9524424461 |
Fax Number | 9524421218 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 2905 |
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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What is the unique 10-digit identifier code assigned to Tracy A Jackson by the Centers for Medicare & Medicaid Services?
The Tracy A Jackson has been issued the NPI (National Provider Identifier) 1821177692 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Tracy A Jackson's physical address?
The Tracy A Jackson is physically located at 424 W State Highway 5, in the city of Waconia, MN, with the postal code 553871723.
What is Tracy A Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracy A Jackson is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Tracy A Jackson receive its 1821177692 assignment from the Centers for Medicare & Medicaid Services?
The Tracy A Jackson was assigned its 1821177692 by the Centers for Medicare & Medicaid Services on 2006-11-03.
When was the information regarding Tracy A Jackson most recently updated?
The details pertaining to the Tracy A Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.