Jackson Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JACKSON VISION CENTER, LLC

Practice address

W194N16747 Eagle Dr
Suite N
Jackson, WI 53037-9797

Phone

(262) 677-4313

Fax

(262) 677-4396

NPI assigned

Mar 22, 2007

Last updated

Nov 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zhaleh Barari, O.D.NPI 1699752907

Title

Owner

Phone

(262) 677-4313

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zhaleh Barari, OD

  • Optometrist
  • Jackson, WI
  • NPI 1699752907
  Medicare reassignment NPD Authorized official
• Michael A Buck, O.D.

  • Optometrist
  • Conroe, TX
  • NPI 1639169584
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351900800000",
    "number": "1598881336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W194N16747 EAGLE DR",
            "address_2": "SUITE N",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530379797",
            "telephone_number": "262-677-4313",
            "fax_number": "262-677-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W194N16747 EAGLE DR",
            "address_2": "SUITE N",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530379797",
            "telephone_number": "262-677-4313",
            "fax_number": "262-677-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-11-03",
        "status": "A",
        "authorized_official_last_name": "BARARI",
        "authorized_official_first_name": "ZHALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-677-4313",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38615500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Charles Heffter, DDS
• Kristin Hillman, R.PH.
• Holt Holten, RN
• Jackson Family Dentistry LLC
• Jackson Town & Country Dental LLC
• Just Like Home Adult Day Center
• Kristen Camille Kapler, MS, LPC-IT
• Kinetec USA Inc
• Amanda Klas, RN
• Bridget K Kratz-Schwartz, PT

• Optometrist in Jackson, WI
• Providers in Jackson, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2012; 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.