DRS Jackson & Lee, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00002095 Issued in WA

Legal business name

DRS JACKSON & LEE, INC

Practice address

28815 Pacific Hwy S
Suite 2
Federal Way, WA 98003-3906

Phone

(253) 941-7074

Fax

(253) 941-5079

NPI assigned

Dec 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Duane L Jackson II, O.D.NPI 1962628073

Title

Owner

Phone

(253) 941-7074

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• FAMILY EYE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duane L Jackson Jr., O.D.

  • Optometrist
  • Federal Way, WA
  • NPI 1962628073
  Medicare reassignment Care Compare group Authorized official
• Laura H Lee, O.D.

  • Optometrist
  • Federal Way, WA
  • NPI 1619196128
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1194883017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28815 PACIFIC HWY S",
            "address_2": "SUITE 2",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033906",
            "telephone_number": "253-941-7074",
            "fax_number": "253-941-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28815 PACIFIC HWY S",
            "address_2": "SUITE 2",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033906",
            "telephone_number": "253-941-7074",
            "fax_number": "253-941-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS JACKSON & LEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-941-7074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00002039",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00002095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032688",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY EYE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY EYE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dreamzz Sleep Center PLLC
• Andrea S Drenguis, DO
• Erica Layne Driggers, LMP
• Catherine L Droege, ARNP
• Lachelle Naliese Drollman, NP
• Jordan Claire Drummond, LICSW
• Morgan Marie Drummond, LMP
• Leah V Duarosan
• Sascha Dublin, M.D.
• Grant Dudley

• Optometrist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.