MR. KEVIN CARL JACKSON


Address: 7828 Eastern Ave Nw, Washington, DC 20012
Phone: 2028292700

MR. KEVIN CARL JACKSON (NPI# 1881724607) 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) 1881724607
Entity Type Individual
Full Name MR. KEVIN CARL JACKSON
Credential OPTOMETRIST
Practice Address 7828 Eastern Ave Nw
Washington
DC 20012
Practice Telephone 2028292700
Practice Fax Number 2028294033
Mailing Telephone 2028292700
Mailing Fax Number 2028294033
Enumeration Date 2007-03-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 615 DC Eye and Vision Services Providers

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1144291907 Kevin T Jackson Family Medicine 1420 Highway 62 65 N, Harrison, AR 72601-1959 2006-01-30
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1588654115 Kevin Michael Jackson Optometrist 39-06 Kramer Pl, Fair Lawn, NJ 07410-5311 2005-10-25
1225032782 Kevin Gordon Jackson Family Medicine 8111 E Thomas Rd, Ste 124, Scottsdale, AZ 85251-5844 2005-06-11

Office Location

Street Address 7828 EASTERN AVE NW
City WASHINGTON
State DC
Zip Code 20012

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NPI Name Taxonomy Address Enumeration
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1437690484 Sahsandra Asong Abangawoh I Social Worker 7600 Georgia Ave, #323, Washington, DC 20012 2017-03-10
1184167249 Nnamdi Nweke Home Health Aide 7268 Eastern Avenue, 400, Washington, DC 20012 2016-11-22
1083161657 Fongwi Gladys Epse Tah N Jong Home Health Aide 6856 Eastern Nw, #376, Washington, DC 20012 2016-09-01
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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

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1942799234 Jenna O'brien O.d. Pllc Optometrist 1038 S White Sands Dr, Washington, UT 84780-8202 2018-05-02
1609394931 Onevision, Inc. Optometrist 3620 South Dakota Ave Ne, Washington, DC 20018 2017-09-07
1366963092 Evelyn Dearing Optometrist 3418 Wisconsin Avenue Nw, Washington, DC 20016 2017-07-03
1477083772 Alexander David Mcclure Optometrist 851 E 5th St Ste 112, Washington, MO 63090-3128 2017-06-19
1629504535 Onyekachukwu Illoh Optometrist 1924 8th St Nw, Washington, DC 20001-3286 2017-05-11
1821459082 Myeyedr Optometry of Dc, LLC Optometrist 3418 Wisconsin Ave Nw, Washington, DC 20016 2016-03-16
1942674197 Jennifer D Luckie Optometrist 1016 16th St Nw Bsmt Ll, Washington, DC 20036-5729 2015-11-25
1891170494 Keith Versteegden Optometrist 3620 S Dakota Ave Ne, Washington, DC 20018-3026 2015-07-23
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Competitor

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City WASHINGTON
Zip Code 20012

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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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