Todd Lincoln Jackson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

52840 Issued in AZ

Practice address

710 Eastern St Ste H
Kingman, AZ 86401-5486

Phone

(928) 224-0536

NPI assigned

Oct 2, 2007

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Medical College of Wisconsin, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mohave Eye Centers LTD.Group PAC ID 7911985247, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.78 of 100Reported as individual

Quality

72.18

Improvement activities

40

Cost

79.68

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: todd.jackson@direct.avp.nextgenshare.com

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.

• Mohave Eye Centers LTD

  • Optometrist
  • Kingman, AZ
  • NPI 1063438257

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Prestige Laser and Cataract Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Kingman, AZ
  • NPI 1518680347

  Ophthalmology

  Medicare reassignment NPD
• Jackson Eye Center PLLC

  • Ophthalmology Physician
  • Kingman, AZ
  • NPI 1528983798
  Authorized official Same address or phone
• Mohave Eye Center, LTD

  • Optometrist
  • Bullhead City, AZ
  • NPI 1477006724
  NPD
• Nevada Eye Care Professionals Little & Stein LTD

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1689110264
  NPD (past)
• Tenaya Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1538159728
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1609063775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 EASTERN ST STE H",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015486",
            "telephone_number": "928-224-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 EASTERN ST STE H",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015486",
            "telephone_number": "928-224-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TODD",
        "middle_name": "LINCOLN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "52840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itano and Associates PLLC
• J. Khan, LLC
• Janis E Jablenski, CPHT
• Jackson Eye Center PLLC
• Kenneth Douglas Jackson, M.D.
• Brian Jahnny, D.O.
• Audra Nicole Jalbert, LPC
• Syed Zahid Jamal, MD
• Lauren Camille Jarmie Harris, PH.D.
• Christopher Jarrell, FNP

• Ophthalmology Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.