Jared Jackson, MD - Edmond, OK

Jared Jackson, MD

Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma

NPI 1730476730

Jared Jackson is a Student in an Organized Health Care Education/Training Program based in Edmond, OK. Jared Jackson practices in Edmond, OK and has the professional credentials of MD. The NPI Number for Jared Jackson is 1730476730 and holds a License No. 29168 (Oklahoma).

The current practice location address for Jared Jackson is 3431 S Boulevard Ste 105, Edmond, OK and can be reached out via phone at 405-771-0880 and via fax at 405-562-2116. You can also correspond with Jared Jackson through the mailing address at PO BOX 1803, EDMOND, OK - 73083-1803 (mailing address contact number: 405-418-4800).

Location: 3431 S Boulevard Ste 105, Edmond, OK, 73083-1803

NPI Number

1730476730

Provider Name

Jared Jackson

Credential

Provider Entity Type

Individual

Gender

Male

Address

3431 S Boulevard Ste 105, Edmond, OK, 73083-1803

Phone Number

405-771-0880

Fax Number

405-562-2116

Provider Enumeration Date

06/29/2011

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
200752480A	05	OK

Address

3431 S Boulevard Ste 105

City

Edmond

State

Oklahoma

Zip

73013-5514

Phone Number

405-771-0880

Fax Number

405-562-2116

Address

Po Box 1803

City

Edmond

State

Oklahoma

Zip

73083-1803

Phone Number

405-418-4800

Fax Number

405-418-4820

Type

Allopathic & Osteopathic Physicians

Classification

Ophthalmology

Speciality

Taxonomy

207W00000X

License No.

11016020A (Indiana)

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Medical Specialty

Taxonomy

261QM2500X

License No.

29168 (Oklahoma)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

29168 (Oklahoma)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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