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MR. A JACKSON BAILES OD NPI 1962498634


NPI Information

NPI: 1962498634
Provider Name: MR. A JACKSON BAILES, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
507 MULBERRY HEIGHTS RD
POMEROY, OH
ZIP 45769
Phone: (740) 992-3279
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MR. A Jackson Bailes, OD is an optometrist in Pomeroy, OH. 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. MR. A Jackson Bailes, OD NPI is 1962498634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

507 MULBERRY HEIGHTS RD
POMEROY, OH
ZIP 45769-573
Phone: (740) 992-3279
Fax: (740) 992-6740

The enumeration date for this NPI number is 9/27/2005 and was last updated on 1/7/2010.


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
1152W00000XOptometrist3385T891OHIOYes

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
1993607OTHERCLARITY VISION
20454300001MEDICARE NSCWEST VIRGINIA
3OH3385OTHEREYEMED VISIONCARE
40149736000MEDICAIDWEST VIRGINIA
54664951OTHERAETNA
6410022337OTHERPALMETTO GBA RAILROAD MED
74851990001OTHERADMINISTAR FEDERAL
83112701294001OTHERANTHEM BLUE CROSS BLUE SH
90391446MEDICAIDOHIO
100454300001MEDICARE NSCOHIO
11T47734MEDICARE UPIN
1231127012900OTHEROHIO BUREAU OF WORKMENS C
13BA0525152MEDICARE ID-TYPE UNSPECIFIED

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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