Organization Active NPI

Jackman Eye

  • Optometrist
  • Austin, TX
National Provider Identifier
1740790336
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8073-TG Issued in TX
Legal business name
JACKMAN EYE
Practice address
1000 W 39TH St
Austin, TX 78756-4008
Phone
(512) 323-6996
Fax
(512) 452-0015
NPI assigned
Oct 9, 2017
Organization subpart
Yes
Parent organization
M D JACKMAN OD & ASSOCIATES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
Dr. Madison Luce Huser, ODNPI 1255684775
Title
Owner/Doctor
Phone
(512) 323-6996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8073-TG TX Primary

Addresses

Primary practice location

1000 W 39TH St
Austin, TX 78756-4008

Mailing address

1000 W 39TH St
Austin, TX 78756-4008
Phone (512) 323-6996

Other names 1

  • MD Jackman OD and Associates, PLLC Former legal business name

National Provider Directory

National Provider Directory
Part of
M D Jackman OD Associates PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1740790336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 39TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564008",
            "telephone_number": "512-323-6996",
            "fax_number": "512-452-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 39TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564008",
            "telephone_number": "512-323-6996",
            "fax_number": "512-452-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKMAN EYE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M D JACKMAN OD & ASSOCIATES PLLC",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "HUSER",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "LUCE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "512-323-6996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8073-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Jackman OD and Associates, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.