DR. CHAD J JACKSON


Address: 6575 Belding Rd Ne, Suite D, Rockford, MI 49341-7418
Phone: 6168742020

DR. CHAD J JACKSON (NPI# 1780772533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780772533
Entity Type Individual
Full Name DR. CHAD J JACKSON
Credential OD
Practice Address 6575 Belding Rd Ne
Suite D
Rockford
MI 49341-7418
Mailing Address 6575 Belding Rd Ne Ste D
Rockford
MI 49341-7417
Practice Telephone 6168742020
Practice Fax Number 6168742773
Mailing Telephone 6168742020
Mailing Fax Number 6168742773
Enumeration Date 2006-10-10
Last Update Date 2018-11-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 4901003954 MI Eye and Vision Services Providers
N 152WC0802X Optometrist
Specialization: Corneal and Contact Management
4901003954 MI Eye and Vision Services Providers
N 152WP0200X Optometrist
Specialization: Pediatrics
4901003954 MI Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUECROSS/BLUE SHEILD 90OD114940 01

Other Providers CHAD JACKSON

NPI Name Taxonomy Address Enumeration
1881257178 Chad Walker Jackson Social Worker 7709 Riverview Dr Apt 104, Jenison, MI 49428-7960 2019-04-22
1518484245 Chad Edwin Jackson Preventive Medicine 14110 Six Mile Cypress Pkwy, Fort Myers, FL 33912-4314 2017-08-24
1710177142 Chad William Jackson Physical Therapist 822 S Walnut St, Maryville, MO 64468-2565 2007-08-01
1255706438 Chad Jackson Chore Provider 2021 40th Ave, Tuscaloosa, AL 35401-3930 2015-12-14
1316329667 Chad Jackson Counselor 3225 1st Ave N, Billings, MT 59101-2104 2015-06-23
1184067498 Chad Harman Jackson Ophthalmology 111 W Main St Ste 200, Boise, ID 83702-7308 2013-04-17
1467773481 Chad T Jackson Physician Assistant 1001 E 2nd St, Coudersport, PA 16915-8161 2010-06-14
1063582120 Chad M Jackson Dentist #5 Eureka Circle, Suite A, Wichita Falls, TX 76308 2006-11-08
1386678191 Chad Michael Jackson Specialist 1747 Medical Center Pkwy, Suite 210, Murfreesboro, TN 37129-2563 2006-07-10

Office Location

Street Address 6575 BELDING RD NE
SUITE D
City ROCKFORD
State MI
Zip Code 49341-7418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194981753 Kmwa, LLC Chiropractor 6575 Belding Rd Ne, Suite C, Rockford, MI 49341-7418 2008-08-04
1790946994 Lori Lynn Walenga Chiropractor 6575 Belding Rd Ne, Rockford, MI 49341-7418 2008-06-19
1477730919 Chad J. Jackson, Od, Pllc Optometrist 6575 Belding Rd Ne, Suite D, Rockford, MI 49341-7418 2008-01-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801451836 Heather Nash Social Worker 65 S. Main Street, Lower Level, Rockford, MI 49341 2019-05-06
1366967069 Caitlin Lebron Case Manager/Care Coordinator 8625 Wildcat Run Dr Ne, Rockford, MI 49341 2017-08-03
1366967077 Elite Nurse Staffing, LLC Nursing Care 3836 Windwood Drive, Ne, Rockford, MI 49341 2017-08-03
1336678747 Melissa Diane Maynard Behavior Technician 3361 36th St., Grand Rapids, MI 49341 2017-06-08
1376077453 Spectrum Health Primary Care Partners Internal Medicine 8501 Meadowcreek Dr, Rockford, MI 49341 2017-04-17
1871025254 Robin D Dine Behavior Technician 8636 Shaner Ave, Rockford, MI 49341 2017-04-03
1528503216 Miles Skalnek Pharmacist 511 10 Mile Road, Rockford, MI 49341 2017-01-04
1366801664 Lorri Ann Kelbel Massage Therapist 11591 Northland Drive Ne, Rockford, MI 49341 2016-02-15
1275872046 Eugene Louis Bonofiglo Dentist 4655- 14 Mile Rd Ne, Rockford, MI 49341 2013-02-13
1740539246 Erica Joyce Nichols Chiropractor 6769 Courtland Dr, Suite 100, Rockford, MI 49341 2012-08-30
Find all providers in zip 49341

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831749548 Manpreet Kaur Dhaliwal Optometrist 6055 E State St Ste D01a, Rockford, IL 61108-2512 2019-09-14
1396399804 Freedom Vision Centers LLC Optometrist 6150 E State St Ste 130, Rockford, IL 61108-2524 2019-08-01
1679127021 Rosalba Ramirez Optometrist 5915 E Riverside Blvd, Rockford, IL 61114-4935 2019-07-24
1295214435 Neil Patel Optometrist 7200 Harrison Ave Unit F35, Rockford, IL 61112-3014 2018-08-08
1568839231 Irina Rutkowski Optometrist 1603 N Alpine Rd Ste 121, Rockford, IL 61107-1439 2015-08-28
1053603837 Hina N Patel Optometrist 4777 E State St # 6, Rockford, IL 61108-8802 2011-05-11
1114237435 Erica L Touhill-watson Optometrist 6790 Cannon Farms Dr Ne, Rockford, MI 49341-7720 2010-10-20
1952615684 Aman Jalota Optometrist 6430 E State St, Rockford, IL 61108-2529 2010-08-05
1821248287 Michael S. Feldt, O.d., Ltd. Optometrist 1640 Broadway, Rockford, IL 61104-6000 2008-09-23
1316107568 Wight Optometric PC Optometrist 1975 Pawlisch Dr, Rockford, IL 61112-1069 2008-06-11
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 49341

Improve Information

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Dataset Information

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.

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