Jackson Eye is a medicare enrolled "Optometrist" provider in Fairburn, Georgia. Their current practice location is
5370 Campbellton Fairburn Rd, 410, Fairburn, Georgia. You can reach out to their office (for appointments etc.) via phone at
(972) 689-6722.
Jackson Eye is licensed to practice in Georgia (license number OPT002717) and it also participates in the medicare program. Jackson Eye
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1235534207.
Healthcare Provider's Profile
| Full Name | Jackson Eye |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 5370 Campbellton Fairburn Rd, Fairburn, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235534207
- Provider Enumeration Date: 11/03/2014
- Last Update Date: 03/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 3274825724
- Enrollment ID: O20170111000622
Medical Identifiers
Medical identifiers for Jackson Eye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235534207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT002717 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jackson Eye acts as a billing entity for following providers:
| Provider Name | Danielle N Jackson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1043568413
PECOS PAC ID: 9537318514
Enrollment ID: I20121008000264 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackson Eye is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jackson Eye
5370 Campbellton Fairburn Rd, 410,
Fairburn, GA 30213-2296
Ph: (972) 689-6722 | Jackson Eye
5370 Campbellton Fairburn Rd, 410,
Fairburn, GA 30213-2296
Ph: (972) 689-6722 |
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