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DR. M.E. JACKSON OPTOMETRIST PC NPI 1497071625


NPI Information

NPI: 1497071625
Provider Name: DR. M.E. JACKSON OPTOMETRIST PC

Other Name: DR. M.E. JACKSON O.D., P.C.

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
4642 HAYGOOD RD
SUITE 1
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 464-5842
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DR. M.E. JACKSON OPTOMETRIST PC is an optometrist in Virginia Beach, VA. The provider is 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. M.E. JACKSON OPTOMETRIST PC NPI is 1497071625. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dr. M.e. Jackson O.d., P.c..

The provider's business location address is:

4642 HAYGOOD RD
SUITE 1
VIRGINIA BEACH, VA
ZIP 23455-436
Phone: (757) 464-5842
Fax: (757) 464-4745

The provider's authorized official is Melvin Eugene Jackson .
The authorized official title is Doctor/ Sole Owner and has the following contact phone number (757) 464-5842.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 4/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist0618000174VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1040971OTHERVIRGINIABLUE CROSS & BLUE SHIELD
21588657217OTHERNPI
30092-0598-5MEDICAIDVIRGINIA
4T21621MEDICARE UPIN
50389100001MEDICARE NSCVIRGINIA
6410000114MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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