Heather Jackson (NPI# 1083266126, PAC ID# 2668708801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1083266126 |
| PAC ID by PECOS | 2668708801 |
| Professional Enrollment ID | I20190725003739 |
| Full Name | Heather Jackson |
| Organization Legal Name | STRATEGIC PRACTICE MANAGEMENT, P.A. |
| Address |
2070 Eagle Creek Ln Suite 200 Woodbury MN 55129-3217 |
| Phone Number | 6514363356 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2019 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6507963261 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2070 Eagle Creek Ln, Suite 200, Woodbury, MN 55129-3217 | 6514363356 | STRATEGIC PRACTICE MANAGEMENT, P.A. |
| Organization Legal Name | STRATEGIC PRACTICE MANAGEMENT, P.A. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Earley | Optometry | Strategic Practice Management, P.a. | 7430 80th St S, Cottage Grove, MN 55016-3035 |
| Michael W Herde | Optometry | Strategic Practice Management, P.a. | 7011 10th St N, Oakdale, MN 55128-5938 |
| Trent D Cole | Optometry | Strategic Practice Management, P.a. | 7011 10th St N, Oakdale, MN 55128-5938 |
| Brittany E Radke | Optometry | Strategic Practice Management, P.a. | 7430 80th St S, Cottage Grove, MN 55016-3035 |
| Street Address |
2070 EAGLE CREEK LN SUITE 200 |
| City | WOODBURY |
| State | MN |
| Zip | 55129-3217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan J Dumm | Physician Assistant | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Megin S John | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Brett W Petersen | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Taylor B Schiffler | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Trisha D Mellesmoen | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Lisa C Richardson | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Jacob A Wendt | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Karie K Nash | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Lindsay M Ortlip | Physician Assistant | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| David M Bowman | Physical Therapy | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Find all physicians in zip 55129 | |||
| City | WOODBURY |
| Zip Code | 55129 |
| Specialty | OPTOMETRY |
| City + Specialty | WOODBURY + OPTOMETRY |
Please comment or provide details below to improve the information on Heather Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.