Monique Jackson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1797-731AT Issued in LA

Practice address

4205 Canal St
Ste B
New Orleans, LA 70119-5942

Phone

(504) 777-7780

Fax

(504) 777-7790

NPI assigned

Jul 2, 2015

Sex

Female

Sole proprietor

No

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 LA

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Eyes on Canal LLC

  • Optometrist
  • New Orleans, LA
  • NPI 1982064630
  Medicare reassignment NPD Authorized official
• Lasalle Eye and Vision

  • Optometrist
  • New Orleans, LA
  • NPI 1023685765
  NPD

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1891178281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CANAL ST",
            "address_2": "STE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195942",
            "telephone_number": "985-966-5029",
            "fax_number": "504-777-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 CANAL ST",
            "address_2": "STE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195942",
            "telephone_number": "504-777-7780",
            "fax_number": "504-777-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MONIQUE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1797-731AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Jackson
• Lisa Jackson
• Marcus Jackson
• Mariah Jackson, FNP-C
• Mitchell H Jackson, DO
• Natalie S Jackson, DDS
• Neal Morris Jackson, M.D.
• Netthany Schexnayder Jackson, MSW
• Panelvis Jackson
• Paul M Jackson, M.D.

• Optometrist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Optometrist in Louisiana

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