Barry Jackson Od

LBN: Jackson Eye Care, Inc
Barry Jackson Od is an health care organization with primary practice located at 51 E 400 N Suite 4A, Cedar City UT 84720-2686. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jackson Eye Care, Inc can be contacted via phone (435) 586-1500, or through Jackson, Russell B via phone (435) 586-1500.

Contact Information

Primary practice address
51 E 400 N Suite 4A Cedar City UT 84720-2686
Phone: (435) 586-1500
Fax: (435) 865-0784
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Russell B Doctor of Optometry (OD)
Phone: (435) 586-1500

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 375344-9934 Utah

Profile Details

NPI number 1114100740
LBN Legal business name Jackson Eye Care, Inc
DBA Doing business as Barry Jackson Od
Authorized official Jackson, Russell B Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Feb 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114100740 NPPES
Utah MEDICAID 528882505001

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