DUANE L JACKSON JR. (NPI# 1962628073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962628073 |
| Entity Type | Individual |
| Full Name | DUANE L JACKSON JR. |
| Credential | O.D. |
| Practice Address |
28815 Pacific Hwy S Ste 2 Federal Way WA 98003-3876 |
| Practice Telephone | 2539417074 |
| Practice Fax Number | 2539415079 |
| Mailing Telephone | 2539417074 |
| Mailing Fax Number | 2539415079 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD00002039 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2015139 | 05 | |
| WA | LABOR AND INDUSTRIES | 120065 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992203673 | Duane Jackson Sr. | Technician | 1811 S Jones Blvd, Las Vegas, NV 89146-1259 | 2018-01-26 |
| Street Address |
28815 PACIFIC HWY S STE 2 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| 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 |
|---|---|---|---|---|
| 1093282394 | Wontae Yoo | Optometrist | 1810 S 320th St Ste A, Federal Way, WA 98003-5639 | 2018-10-25 |
| 1780098459 | Ann Nguyen | Optometrist | 824 Sw 349th Way, Federal Way, WA 98023-8444 | 2014-06-20 |
| 1285865626 | Melissa Sun Cho | Optometrist | 31625 Pacific Hwy S, Federal Way, WA 98003-5645 | 2009-08-03 |
| 1649450529 | Amman James Starr | Optometrist | 32717 1st Ave S Ste 6, Federal Way, WA 98003-5758 | 2007-11-08 |
| 1215137732 | Alice P Nguyen | Optometrist | 1701 S Commons, Federal Way, WA 98003-6037 | 2007-07-23 |
| 1952421372 | Northwest Vision and Learning Center | Optometrist | 1705 South 324th Place, Federal Way, WA 98003 | 2007-03-30 |
| 1922143635 | Jack V Locascio | Optometrist | 2314 Sw 336th St, Federal Way, WA 98023-2848 | 2007-02-20 |
| 1720132111 | David B Souza | Optometrist | 2317 Sw 320th St, Federal Way, WA 98023-2567 | 2007-01-22 |
| 1659424661 | Kuljeet Singh | Optometrist | 31625 Pacific Hwy S Ste E1, Federal Way, WA 98003-5645 | 2007-01-21 |
| 1417022484 | Dr. William Balogh | Optometrist | 2016 S 320th St, Suite E, Federal Way, WA 98003-5453 | 2006-11-22 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.