Jackson Eye Care

LBN: Jackson Eyecare, Pc
Jackson Eye Care is an health care organization with primary practice located at 1250 E Magnolia St , Fort Collins CO 80524-2702. 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 Eyecare, Pc can be contacted via phone (970) 224-0606, or through Jackson, Mark D via phone (970) 224-0606.

Contact Information

Primary practice address
1250 E Magnolia St Fort Collins CO 80524-2702
Phone: (970) 224-0606
Fax: (970) 493-9309
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Mark D Doctor of Optometry (OD)
Phone: (970) 224-0606

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2187 Colorado

Profile Details

NPI number 1396878328
LBN Legal business name Jackson Eyecare, Pc
DBA Doing business as Jackson Eye Care
Authorized official Jackson, Mark D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Oct 22nd, 2012 - about 13 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 1396878328 NPPES
Colorado MEDICAID 90701283

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