Jonathan Floyd Jackson in Wilmington - Optometrist
Jonathan Floyd Jackson - NPI 1407906084
Jonathan Floyd Jackson is a Optometrist in Wilmington, North Carolina. Jonathan Floyd Jackson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jonathan Floyd Jackson is 1407906084. The last update date is 2007-07-08.
Jonathan Floyd Jackson's current location address is 5135 Carolina Beach Rd, Wilmington, North Carolina. You can contact this provider via phone number 9107931157 and fax number 9107931158. The mailing address for Jonathan Floyd Jackson is 5135 Carolina Beach Rd, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Floyd Jackson |
|---|---|
| Address | 5135 Carolina Beach Rd, Wilmington, North Carolina |
| Phone Number | 9107931157 |
| Fax Number | 9107931158 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1407906084 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5135 Carolina Beach Rd |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284122516 |
| Phone Number | 9107931157 |
| Fax Number | 9107931158 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1907 |
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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 |
|---|---|---|---|
| 89093NY | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jonathan Floyd Jackson by the Centers for Medicare & Medicaid Services?
The Jonathan Floyd Jackson has been issued the NPI (National Provider Identifier) 1407906084 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jonathan Floyd Jackson's physical address?
The Jonathan Floyd Jackson is physically located at 5135 Carolina Beach Rd, in the city of Wilmington, NC, with the postal code 284122516.
What is Jonathan Floyd Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan Floyd Jackson's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407906084 to Jonathan Floyd Jackson?
The Jonathan Floyd Jackson received its 1407906084 assignment from the Centers for Medicare & Medicaid Services on 2007-01-12.
When was the information pertaining to Jonathan Floyd Jackson most recently updated or revised?
The details related to Jonathan Floyd Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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