William Jackson Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4491TG Issued in TX

Practice address

4 West Way Court
Lake Jackson, TX 77566-5242

Phone

(979) 297-3937

Fax

(979) 297-9889

NPI assigned

Dec 12, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drjackson@drwilliamjackson.eyeclinicdirect.net

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

• The Eye Contact, Inc.

  • Optometrist
  • Lake Jackson, TX
  • NPI 1124472717
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1326109661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 OAK PARK DR",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775157846",
            "telephone_number": "979-549-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEST WAY COURT",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665242",
            "telephone_number": "979-297-3937",
            "fax_number": "979-297-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4491TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iph Health Care Services, Inc. (Iph Home Health)
• Iph Hospice Care Inc
• Stellamaris Irabor, FNP-C
• Iso-3, L.L.C.
• Kristin Bravenec Jackson, FNP
• Rakesh Jain, MD
• Saundra L Jain, PSYD, LPC
• Jalopy Shoppe, Inc (Praxair Healthcare Services)
• James D Fuchs, M.D.,P.a
• Janis a Wells (Life Rehab)

• Optometrist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.