Nathan C Jackson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1544 Issued in NE

Practice address

9900 Nicholas St Ste 250
Omaha, NE 68114-2261

Phone

(402) 493-6500

Fax

(402) 493-4370

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By 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

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Vision PCGroup PAC ID 1658545686, 3 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.

• Taylor Vision PC

  • Optometrist
  • Council Bluffs, IA
  • NPI 1538436761
  Medicare reassignment Care Compare group NPD
• Heartland Eye Consultants LLC

  • Optometrist
  • Omaha, NE
  • NPI 1003821422
  Medicare reassignment NPD
• MRT Optometry PC

  dba Ideal EyeCare

  • Optometrist
  • Omaha, NE
  • NPI 1629585716
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1447828728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142261",
            "telephone_number": "402-493-6500",
            "fax_number": "402-493-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142261",
            "telephone_number": "402-493-6500",
            "fax_number": "402-493-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NATHAN",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melia Kaye Jackson
• Melissa Anne Jackson
• Micky Michelle Jackson
• Molly R Jackson, APRN-NP
• Nanakrah Jackson
• Nathan Edward Jackson
• Nikki D Jackson
• Nyasha Malika Jackson
• Patricia Ann Jackson
• Paul Jackson

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.