M D JACKMAN OD & ASSOCIATES PLLC (NPI# 1588935746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588935746 |
| Entity Type | Organization |
| Organization Name | M D JACKMAN OD & ASSOCIATES PLLC |
| Practice Address |
1000 W 39th St Austin TX 78756-4008 |
| Practice Telephone | 5123236996 |
| Practice Fax Number | 5124520015 |
| Mailing Telephone | 5123236996 |
| Mailing Fax Number | 5124520015 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | MERL D JACKMAN (OWNER) |
| Authorized Official Telephone | 5123236996 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2404TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS OPTOMETRY LICENSE | 2404TG | 01 |
| TX | BCBS OF TEXAS | 0083WW | 01 |
| Street Address |
1000 W 39TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538294848 | James Ashley Dugas | Optometrist | 1000 W 39th St, Austin, TX 78756-4008 | 2007-02-23 |
| 1104318484 | Felicia Dea Satrio | Optometrist | 1000 W 39th St, Austin, TX 78756-4008 | 2018-06-03 |
| 1740790336 | Jackman Eye | Optometrist | 1000 W 39th St, Austin, TX 78756-4008 | 2017-10-09 |
| 1154676435 | Dee Ellyn Tekell | Optometrist | 1000 W 39th St, Austin, TX 78756-4008 | 2012-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
| Find all providers in zip 78756 | ||||
| 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 |
|---|---|---|---|---|
| 1992311880 | Eyecare of Austin, Pllc | Optometrist | 5621 N Interstate 35, Austin, TX 78723-2431 | 2020-09-16 |
| 1487266748 | Norin Ali | Optometrist | 1801 E 51st St Ste 360, Austin, TX 78723-3468 | 2020-08-18 |
| 1497366462 | Valeria Elizabeth Solis | Optometrist | 360 Nueces St Ste 70, Austin, TX 78701-4469 | 2020-08-13 |
| 1093324493 | Tien Pham | Optometrist | 1216 Dexford Dr, Austin, TX 78753-1602 | 2020-07-31 |
| 1073121463 | Vy Nguyen | Optometrist | 2205 N Shields Dr, Austin, TX 78727-4367 | 2020-07-21 |
| 1689297210 | Kayla Smith | Optometrist | 6836 Bee Caves Rd # 100, Austin, TX 78746-5059 | 2020-05-18 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1336792332 | Jimmy Yuan | Optometrist | 4825 Davis Ln Apt 538, Austin, TX 78749-4556 | 2019-07-18 |
| 1912567876 | Matheus M Ozbek | Optometrist | 2901 S Capital of Texas Hwy Ste F7, Austin, TX 78746-8118 | 2019-06-13 |
| 1073179891 | Tammy Phuong Nguyen | Optometrist | 5501 N Interstate 35 Ste B, Austin, TX 78723-2563 | 2019-05-16 |
| Find all providers in AUSTIN | ||||
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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.