James Paul Jackson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1530 Issued in CO

Practice address

1845 Main Ave
Durango, CO 81301-5035

Phone

(970) 259-1789

Fax

(970) 259-0810

NPI assigned

Jan 9, 2007

Last updated

Feb 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Animas Eye Care PCGroup PAC ID 7911134010, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Animas Eye Care, PC

  • Optometrist
  • Durango, CO
  • NPI 1689821316
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1275682403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015035",
            "telephone_number": "970-259-1789",
            "fax_number": "970-259-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015035",
            "telephone_number": "970-259-1789",
            "fax_number": "970-259-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18555306",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorielle M Jack
• Robin Oma Jackman, O.D.
• Alison W Jackson, M.D.
• Danette Jackson, RN
• David Christopher Jackson, D.C.
• Tara M Jackson, MA
• Velvet Jackson
• Brooke Taylor Jacobs, RBT
• Aimee Elizabeth Jacoby, P.A
• Terrence J Jakubanis, D.D.S.

• Optometrist in Durango, CO
• Providers in Durango, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.