Jackson Eye Associates, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JACKSON EYE ASSOCIATES, OD, PA

Practice address

5135 Carolina Beach Rd
Wilmington, NC 28412-2516

Phone

(910) 793-1157

Fax

(910) 793-1158

NPI assigned

May 8, 2007

Last updated

Jan 29, 2016By 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

Mrs. Cheri Beth Clabby

Title

Office Manager

Phone

(910) 793-1157

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Jackson Eye Associates

  • Optometrist
  • Raleigh, NC
  • NPI 1356649362
  NPD tax ID
• Jackson Eye Associates, OD PA

  • Optometrist
  • Wilmington, NC
  • NPI 1215232269
  NPD tax ID
• Jackson Eye Associates, OD PA

  • Optometrist
  • Leland, NC
  • NPI 1427384668
  NPD tax ID
• Jackson Eye Associates, OD PA

  • Optometrist
  • Wilmington, NC
  • NPI 1548596778
  NPD tax ID

Locations

Practitioners 3

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.

• Jonathan Floyd Jackson, O.D.

  • Optometrist
  • Wilmington, NC
  • NPI 1407906084
  Medicare reassignment Care Compare group NPD
• Cuc Thi Van, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1619626330

  NC

  Medicare reassignment Care Compare group NPD
• Carolyn Talbert Bryan, OD

  • Optometrist
  • Wilmington, NC
  • NPI 1710467980
  Medicare reassignment NPD

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1619180387",
    "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": "5135 CAROLINA BEACH RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122516",
            "telephone_number": "910-793-1157",
            "fax_number": "910-793-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON EYE ASSOCIATES, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "CLABBY",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-793-1157",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.a. McNeill & Sons, Inc (The Commons at Brightmore)
• Jabez Home Infusion Company, Inc
• Celeste Jennifer Jablonski, PT
• Jackson Eye Associates, OD PA
• Jackson Eye Associates, OD PA
• Allison Elizabeth Jackson, LCSWA
• Brianna Holton Jackson, LCSW
• Carolyn Denise Jackson, LCSW, LCAS-A
• Cory Daniel Jackson
• Eric Michael Jackson, M.D.

• Optometrist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.