DR. RALPH H JACKSON (NPI# 1750377271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750377271 |
| Entity Type | Individual |
| Full Name | DR. RALPH H JACKSON |
| Credential | O.D. |
| Practice Address |
105 Dawson St Edinburg TX 78539-6401 |
| Practice Telephone | 9563838700 |
| Practice Fax Number | 9563801715 |
| Mailing Telephone | 9563838700 |
| Mailing Fax Number | 9563801715 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2013-12-11 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2148TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 00E27J | 01 |
| TX | 130547603 | 05 | |
| TX | 130547604 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 00E27J | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073763793 | Ralph T Jackson Jr. | Hearing Instrument Specialist | 2015 Palmyra Rd, Albany, GA 31701-1576 | 2008-09-30 |
| 1558467043 | Ralph A Jackson | Internal Medicine | 4390 Pleasant Hill Rd Ste D, Duluth, GA 30096-8054 | 2006-09-15 |
| 1558312637 | Ralph K. Jackson | Ophthalmology | 1727 Amsterdam Ave, 3rd Floor, New York, NY 10031-4611 | 2006-05-13 |
| 1104817154 | Ralph Dudley Jackson IIi | Dentist | 1400 Metro Dr, Alexandria, LA 71301-3451 | 2005-10-31 |
| 1508869231 | Ralph L Jackson | Dentist | 105 Highland Ave, Cornelia, GA 30531-4366 | 2005-05-26 |
| 1669950614 | Ralph Norman Jackson Jr. | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2018-08-01 |
| 1720107675 | Ralph Jackson | Licensed Practical Nurse | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-03-29 |
| 1033131446 | Ralph Jackson | Emergency Medicine | 2701 W 68th St, Chicago, IL 60629-1813 | 2006-07-24 |
| 1609867522 | Ralph Dudley Jackson Jr. | Dentist | 1400 Metro Dr, Suite B, Alexandria, LA 71301-3451 | 2005-10-31 |
| Street Address |
105 DAWSON ST |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| 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 |
|---|---|---|---|---|
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1518150523 | Dr. Gary L. Ahlman | Optometrist | 2301 S Closner Blvd, Edinburg, TX 78539-3712 | 2007-08-22 |
| 1235275017 | Armando J Reyes | Optometrist | 5525 Doctors Dr Ste B, Edinburg, TX 78539-5521 | 2007-01-29 |
| 1962509356 | Gary L Ahlman | Optometrist | 2301 S Closner Blvd., Edinburg, TX 78539 | 2006-09-20 |
| 1023115417 | Emma Esther Gonzalez | Optometrist | 2506 E. Richardson Rd, Edinburg, TX 78542 | 2006-09-20 |
| 1205850450 | Luis Silbiano Navarro | Optometrist | 2301 S Hwy 281, Edinburg, TX 78539-3712 | 2006-07-27 |
| 1710941828 | Lorena Zenaida Flores-hernandez | Optometrist | 2301 S Us Highway 281, Edinburg, TX 78539-3712 | 2006-04-14 |
| 1528056124 | Guadalupe Alejandra Flores | Optometrist | 5525 Doctors Dr, Edinburg, TX 78539-5563 | 2005-10-10 |
| 1609875988 | Julie Baker Anderson | Optometrist | 3804 So. Jackson Road, Ste. #4, Edinburg, TX 78539 | 2005-07-19 |
| 1871147991 | Raj V Bhakta | Optometrist | 2518 W Trenton Rd, Edinburg, TX 78539-8070 | 2019-07-26 |
| Find all providers in EDINBURG | ||||
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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.