Jeanine E. Jacco, OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA000542200 Issued in NJ

Legal business name

JEANINE E. JACCO, OD PA

Practice address

915 Route 517 # B16
Hackettstown, NJ 07840-4661

Phone

(908) 852-3900

Fax

(908) 852-3903

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Jeanine Labrada, ODNPI 1730270638

Title

President

Phone

(201) 321-6829

Specialties & licenses 1

Addresses

Other names 1

• Vision Associates of Hackettstown Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Jeanine Elizabeth Labrada, O.D.

  • Optometrist
  • Hackettstown, NJ
  • NPI 1730270638

  NJ

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501459200000",
    "number": "1255855490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078400744",
            "telephone_number": "908-852-3900",
            "fax_number": "908-852-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ROUTE 517 # B16",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404661",
            "telephone_number": "908-852-3900",
            "fax_number": "908-852-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANINE E. JACCO, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A",
        "authorized_official_last_name": "LABRADA",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-321-6829",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA000542200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Associates of Hackettstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Jancarek, RPH
• Kenneth James Janowski, DO
• Uldis J Jansons, MD
• Jaemmavheb Javanes-Pisani, LPC
• Jbarri Eye Health and Vision Care LLC
• Jeffrey Merkle MD, LLC
• Jennifer L. Gilbert,LCSW Psychotherapy Services LLC
• Daniel A Jodexnis Jr., LCADC, LAC
• John Hurley, MD, LLC
• Marilyn Johnson, MSW LSW

• All providers in Hackettstown, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.