Jacqueline B Co, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

J9862 Issued in TX

Practice address

1381 Lake Park Way Ste 100
Richardson, TX 75080-2372

Phone

(972) 680-2020

Fax

(469) 252-7293

NPI assigned

Aug 3, 2006

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Female

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 TX

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

University of Texas Medical Branch at Galveston, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Co Eyecare Associates & Surgery Center PA

  • Specialist
  • Richardson, TX
  • NPI 1447486568
  Medicare reassignment NPD Authorized official
• Co Eyecare Associates & Surgery Center PA

  • Durable Medical Equipment & Medical Supplies
  • Richardson, TX
  • NPI 1023291994
  NPD Authorized official
• Hughes Eye Care PLLC

  dba First Eye Care

  • Optometrist
  • Hurst, TX
  • NPI 1144415308
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1700894920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 LAKE PARK WAY STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802372",
            "telephone_number": "972-680-2020",
            "fax_number": "469-252-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 LAKE PARK WAY STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802372",
            "telephone_number": "972-680-2020",
            "fax_number": "469-252-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO",
        "first_name": "JACQUELINE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J9862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CLJ Pediatrics, P.a.
• William Justin Clossman, CNIM, REPT
• Closure LLC
• Co Eyecare Associates & Surgery Center PA
• Co Eyecare Associates & Surgery Center PA
• Dustin Van Cobb, D.C.
• Frances Jacqueline Cobb, MD
• Elizabeth Coben
• Keith T. Cobern
• Ana C Cobian-Silver, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.