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COLETTE JACKSON MD NPI 1174943138


NPI Information

NPI: 1174943138
Provider Name: COLETTE JACKSON, MD
Classification: Ophthalmology - 207WX0110X
Entity Type: Individual

Specialization: Pediatric Ophthalmology and Strabismus Specialist

Organization: ALABAMA OPHTHALMOLOGY ASSOCIATES, P.C.

PECOS Registration: Yes

Address:
1000 19TH ST S
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 930-0700
Get Directions

Colette Jackson, MD is a pediatric ophthalmology and strabismus specialist ophthalmology in Birmingham, AL with 10 years of experience. The provider is an ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. Colette Jackson, MD NPI is 1174943138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1000 19TH ST S
BIRMINGHAM, AL
ZIP 35205-804
Phone: (205) 930-0700
Fax: (205) 930-9127

The NPI 1174943138 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 5/22/2019.


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
1207W00000XOphthalmology52176SOUTH CAROLINANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus Specialist37977ALABAMAYes

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: 11/14/2023

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