JACKIE NGO (NPI# 1427610385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427610385 |
| Entity Type | Individual |
| Full Name | JACKIE NGO |
| Credential | OD |
| Practice Address |
2011 N Roan St Johnson City TN 37601-3130 |
| Mailing Address |
1201 Fredericksburg Dr Johnson City TN 37604-6377 |
| Practice Telephone | 4236107155 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3535 | TN | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326291972 | Jackie Lynn Ngo | Marriage & Family Therapist | 767 N Hill St Ste 400, Los Angeles, CA 90012-2381 | 2008-10-28 |
| Street Address |
2011 N ROAN ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053480723 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2011 N Roan St, Johnson City, TN 37601-3130 | 2006-11-07 |
| 1144838137 | Caitlin Jan Follansbee | Optometrist | 2011 N Roan St, Johnson City, TN 37601-3130 | 2020-07-16 |
| 1700445459 | Joshua David Taylor | Optometrist | 2011 N Roan St, Johnson City, TN 37601-3130 | 2019-06-06 |
| 1093201188 | Jessica Wei-yee Chan | Optometrist | 2011 N Roan St, Johnson City, TN 37601-3130 | 2018-07-02 |
| 1780953364 | Kelly Nicole Conyer | Optometrist | 2011 N Roan St, Dr. Carlson & Associates In The Mall At Johnson City, Johnson City, TN 37601-3130 | 2011-12-27 |
| 1306995576 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2011 N Roan St, Mall At Johnson City, Johnson City, TN 37601-3130 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043876295 | Zachary Long | Optometrist | 3211 Peoples St Ste 55, Johnson City, TN 37604-4109 | 2019-05-14 |
| 1528541141 | Berg & Florio Od Pa Johnson City | Optometrist | 213 S Highway 281, Suite A, Johnson City, TX 78636 | 2018-09-10 |
| 1013444264 | Sarah Rose Elmore | Optometrist | 2011 N Roan St Ste E6, Johnson City, TN 37601-3122 | 2017-05-18 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1689812125 | Senior Eye Care of Johnson City LLC | Optometrist | 7 Horseshoe Bnd, Johnson City, TN 37604-7185 | 2009-01-21 |
| 1104097815 | Cox Vision Center PC | Optometrist | 1207 N Roan Street, Johnson City, TN 37601 | 2008-03-20 |
| 1801075346 | Dr. J. Scott Gentry, O.d., P.c | Optometrist | 301 Montgomery St, Johnson City, TN 37604-5629 | 2007-11-01 |
| 1134312358 | Dr Richard A Rosenberg, Od | Optometrist | 302 Sunset Drive, Ste 109, Johnson City, TN 37604-9999 | 2007-08-21 |
| 1104017912 | Andrew R. Schwichtenberg | Optometrist | 2829 E Oakland Ave Ste 1, Johnson City, TN 37601-1908 | 2007-08-06 |
| 1326117136 | James Milton Otis | Optometrist | 3111 Browns Mill Road, Johnson City, TN 37604 | 2006-11-07 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.