Autumn H Jackson in Middletown - Optometrist
Autumn H Jackson - NPI 1477739100
Autumn H Jackson is a Optometrist in Middletown, Rhode Island. Autumn H Jackson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Autumn H Jackson is 1477739100. The last update date is 2022-09-21.
Autumn H Jackson's current location address is 73 Valley Rd, Middletown, Rhode Island. You can contact this provider via phone number 4018471040 and fax number 4018471049. The mailing address for Autumn H Jackson is 73 Valley Rd, Middletown, Rhode Island. To know further, please read the information below!
Provider Profile Detail
Provider Name | Autumn H Jackson |
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Address | 73 Valley Rd, Middletown, Rhode Island |
Phone Number | 4018471040 |
Fax Number | 4018471049 |
Sole Proprietor | N |
Credentials | OD |
NPI Number Detail
NPI Number | 1477739100 |
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Provider Enumeration Date | 2008-01-11 |
Last Updated Date | 2022-09-21 |
Provider Mailing Address Detail
Address | 73 Valley Rd |
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City | Middletown |
State | Rhode Island (RI) |
Post Code | 28425234 |
Phone Number | 4018471040 |
Fax Number | 4018471049 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 4642 |
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 |
---|---|---|---|
718769 | MA | -- | |
AJ73813 | RI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Autumn H Jackson by the Centers for Medicare & Medicaid Services?
The Autumn H Jackson has been assigned the NPI (National Provider Identifier) 1477739100 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Autumn H Jackson's facilities are geographically located?
The facilities of Autumn H Jackson are physically situated at the following location: 73 Valley Rd, Middletown, RI, 28425234.
What is Autumn H 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 Autumn H Jackson is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Autumn H Jackson receive its 1477739100 assignment from the Centers for Medicare & Medicaid Services?
The Autumn H Jackson was assigned its 1477739100 by the Centers for Medicare & Medicaid Services on 2008-01-11.
As of what date was the information pertaining to Autumn H Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Autumn H Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-21.