O. B. Jackson, Jr.,MD, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D8288 Issued in TX

Legal business name

O. B. JACKSON, JR.,MD, PA

Practice address

3509 Lawton Ave
Austin, TX 78731-6112

Phone

(512) 451-0234

Fax

(512) 451-3566

NPI assigned

Apr 2, 2008

Last updated

May 5, 2008By 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

Dr. Oscar B Jackson Jr., M.D.NPI 1215019278

Title

President

Phone

(512) 451-0234

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Oscar B Jackson Jr., M.D.

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1215019278
  NPD (past) Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1598937203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 LAWTON AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316112",
            "telephone_number": "512-451-0234",
            "fax_number": "512-451-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 LAWTON AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316112",
            "telephone_number": "512-451-0234",
            "fax_number": "512-451-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O. B. JACKSON, JR.,MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-451-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D8288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134810405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Nyawir, RN
• Brendon William Nylen, PHD, BCBA, LBA
• Emily Nyman, MSN, APRN, FNP-C
• O C Medical Supply Inc
• Gabrielle Ann O Gallardo, APRN PMHNP-BC
• Barbara A O'Brien, M.A.
• Juliana Helen O'Brien, LCSW
• Katelyn Joy O'Brien, PA
• Marcia Lea O'Brien, MSN, APRN, NP-C
• Marian 'Micki' D. O'Brien, M.ED.,, L.P.C.

• Ophthalmology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.