Active NPI
Tonya Ward Jackson OD PC
- Optometrist
- Tulsa, OK
National Provider Identifier
1205017779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1196
- Legal business name
- TONYA WARD JACKSON OD PC
- Practice address
- 8010 S 101St East Ave
Suite 100
Tulsa, OK 74133-4562 - Phone
- (918) 252-7432
- Fax
- (918) 250-9003
- NPI assigned
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tonya W Jackson, OD
- Title
- Optometrist
- Phone
- (918) 252-7432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1196 | OK | Primary |
Addresses
Primary practice location
8010 S 101St East Ave
Suite 100
Tulsa, OK 74133-4562
Mailing address
8010 S 101St East Ave
Suite 100
Tulsa, OK 74133-4562
Phone (918) 252-7432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100760900B | Medicaid | OK |
Other names 1
- NEW VISION EYE AND LASER CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239840000000",
"number": "1205017779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 S 101ST EAST AVE",
"address_2": "SUITE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741334562",
"telephone_number": "918-252-7432",
"fax_number": "918-250-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 S 101ST EAST AVE",
"address_2": "SUITE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741334562",
"telephone_number": "918-252-7432",
"fax_number": "918-250-9003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONYA WARD JACKSON OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2009-04-16",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "918-252-7432",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OK",
"license": "1196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100760900B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEW VISION EYE AND LASER CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.