NPIMap

Organization Active NPI

Jackson Eye Associates, OD PA

  • Optometrist
  • Leland, NC
National Provider Identifier
1427384668
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JACKSON EYE ASSOCIATES, OD PA
Practice address
1112 New Pointe Blvd
Leland, NC 28451-4115
Phone
(910) 383-0544
Fax
(910) 383-0539
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Mrs. Cheri Beth Clabby
Title
Office MGR
Phone
(910) 793-1157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1112 New Pointe Blvd
Leland, NC 28451-4115

Mailing address

5135 Carolina Beach Rd
Wilmington, NC 28412-2516
Phone (910) 793-1157

National Provider Directory

National Provider Directory
Tax ID family
Jackson Eye Associates OD PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1427384668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 CAROLINA BEACH RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122516",
            "telephone_number": "910-793-1157",
            "fax_number": "910-793-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 NEW POINTE BLVD",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514115",
            "telephone_number": "910-383-0544",
            "fax_number": "910-383-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON EYE ASSOCIATES, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "CLABBY",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "910-793-1157",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.