Jackson Eyecare, PC

PAC ID

7911896378The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

CO

Enrollments

1

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 1 place

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Jackson Eyecare, PC

  dba Jackson Eye Care

  • Optometrist
  • Fort Collins, CO
  • NPI 1396878328
• Jackson Eye Care, PC

  • Optometrist
  • Fort Collins, CO
  • NPI 1912721440

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (2).

• David M Banford, OD

  • Optometrist
  • Loveland, CO
  • NPI 1245251982
• Lance Elden Bloom, O.D.

  • Optometrist
  • Boise, ID
  • NPI 1912331877
• Katheryn Janelle Engel, OD

  • Optometrist
  • Fort Collins, CO
  • NPI 1255016994
• Amanda Estrada, OD

  • Optometrist
  • Rio Rancho, NM
  • NPI 1245789569
• Mark D Jackson, OD

  • Optometrist
  • Fort Collins, CO
  • NPI 1023015005
• Ewing R McClelland, O.D.

  • Optometrist
  • Fort Collins, CO
  • NPI 1568690774
• Anne-Marie Palmer, O.D

  • Optometrist
  • Longmont, CO
  • NPI 1326398967
• Ngoc H Phan, OD

  • Optometrist
  • Loveland, CO
  • NPI 1376020511
• Steve Alan Stout, OD

  • Optometrist
  • Fort Collins, CO
  • NPI 1083707590

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.