Individual provider Active NPI

Chelsey Jackson, OD

  • Optometrist
  • Uvalde, TX
National Provider Identifier
1871945451
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8882TG Issued in TX
Practice address
931 E Main St
Uvalde, TX 78801-4855
Phone
(830) 278-2597
Fax
(830) 278-4091
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8882TG TX Primary

Addresses

Primary practice location

931 E Main St
Uvalde, TX 78801-4855

Mailing address

931 E Main St
Uvalde, TX 78801-4855
Phone (830) 278-2597

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927002681 TX Practitioner - Optometry 5698062180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Center of Uvalde, PAGroup PAC ID 7113081514, 3 clinicians

Practice addresses (Care Compare)

931 E Main St
Uvalde, TX 78801-4855
Phone (830) 278-2597

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8882TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Center of Uvalde, PA Optometrist CurrentSince Aug 1, 2016 Accepting new patients

Locations

931 E Main St
Uvalde, TX 78801
Phone (210) 880-3000

Interoperability endpoints

  • Direct secure messaging: cjackson@uvalde.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1871945451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E MAIN ST",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014855",
            "telephone_number": "830-278-2597",
            "fax_number": "830-278-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E MAIN ST",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014855",
            "telephone_number": "830-278-2597",
            "fax_number": "830-278-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHELSEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8882TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.