Randolph Thomas Jackson in Kansas City - Ophthalmology
Randolph Thomas Jackson - NPI 1457310518
Randolph Thomas Jackson is a Ophthalmology in Kansas City, Kansas. Randolph Thomas Jackson practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Randolph Thomas Jackson is 1457310518. The last update date is 2009-05-07.
Randolph Thomas Jackson's current location address is 11010 Haskell Ave, Kansas City, Kansas. You can contact this provider via phone number 8164781230 and fax number 8163504166. The mailing address for Randolph Thomas Jackson is 11010 Haskell Ave, Kansas City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Thomas Jackson |
|---|---|
| Address | 11010 Haskell Ave, Kansas City, Kansas |
| Phone Number | 8164781230 |
| Fax Number | 8163504166 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457310518 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2009-05-07 |
Provider Mailing Address Detail
| Address | 11010 Haskell Ave |
|---|---|
| City | Kansas City |
| State | Kansas (KS) |
| Post Code | 661098500 |
| Phone Number | 8164781230 |
| Fax Number | 8163504166 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 46566 |
|
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00685107 | KS | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Randolph Thomas Jackson's 1457310518?
The Randolph Thomas Jackson's NPI (National Provider Identifier) Number is 1457310518. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Randolph Thomas Jackson located?
The Randolph Thomas Jackson is located at 11010 Haskell Ave, Kansas City, KS 661098500.
What is Randolph Thomas Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randolph Thomas Jackson's specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
When was the Randolph Thomas Jackson's 1457310518 issued?
The Randolph Thomas Jackson's 1457310518 was issued on 2006-03-18.
When was the Randolph Thomas Jackson's information last updated?
The Randolph Thomas Jackson's information was last updated on 2009-05-07.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1023011053
Address: 1253 N Vine St, Los Angeles, CA