Jackson, Chad J
Jackson, Chad J is an individual health care provider with primary practice located at 6575 Belding Rd Ne Suite D, Rockford MI 49341-7418. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Jackson, Chad J can be contacted via phone (616) 874-2020.Contact Information
Primary practice address
6575 Belding Rd Ne Suite D
Rockford MI 49341-7418
Phone: (616) 874-2020
Fax: (616) 874-2773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4901003954 | Michigan |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 4901003954 | Michigan |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003954 | Michigan |
Profile Details
| NPI number | 1780772533 |
|---|---|
| LBN Legal business name | Jackson, Chad J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Nov 26th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780772533 | NPPES |
| Michigan | Other | 90OD114940 | BLUECROSS/BLUE SHEILD |
Popular Providers
-
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735 -
Ullrey, Justin Champion
25 N Main St , Rockford MI 49341-1281 -
Sees, Theodore Francis
2745 10 Mile Rd Ne , Rockford MI 49341-9146 -
Stites, Carl Louis
6840 Northway Dr Ne Suite A, Rockford MI 49341-7568 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Smothers-Champley, Debra
900 W Springfield Rd , Taylorville IL 62568-1213 -
Anderson, Timothy D
3127 Royal Hanna Dr Ne , Rockford MI 49341-7525