Tiffani Jackson, OD | |
Highway Junction 57, Route 9, Crownpoint, NM 87313 | |
(505) 786-2593 | |
Not Available |
Full Name | Tiffani Jackson |
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Gender | Female |
Speciality | Optometrist |
Location | Highway Junction 57, Route 9, Crownpoint, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780161984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0003415 (Colorado) | Primary |
Provider Name | Dhhs Phs Naihs Crownpoint Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
Provider Name | Aeg Texas Professional Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
Provider Name | Total Care Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487285656 PECOS PAC ID: 6901235191 Enrollment ID: O20200409002436 |
Mailing Address | Practice Location Address |
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Tiffani Jackson, OD Highway Junction 57, Route 9, Crownpoint, NM 87313 Ph: () - | Tiffani Jackson, OD Highway Junction 57, Route 9, Crownpoint, NM 87313 Ph: (505) 786-2593 |
Dr. Roger William Studd, OD, MPH Optometrist Medicare: Medicare Enrolled Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313 Phone: 505-786-5291 | |
Dr. Nazret Gaim Weldeghiorgis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313 Phone: 505-786-5291 | |
Karen Mai Linh Tong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313 Phone: 505-786-6249 Fax: 505-786-6440 |