Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHAD HARMAN JACKSON, MD
ActiveOphthalmology · BOISE, ID
Registration Details
- NPI Number
- 1184067498
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2013 (13.029566904344 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
67198 (WI)18691 (NV)M-15230 (ID)
Practice Information
- Address
-
111 W MAIN ST STE 200BOISE, ID, 837027308Browse ID providers · Browse ZIP 83702
- Phone
- 2083443220
- Fax
- 2083440461
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- 207WX0200X
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. MARK J BOERNER | M.D. | 1003819459 |
| MARK E HOLLINGSHEAD | M.D. | 1689670911 |
| JOHN R SONNTAG | M.D. | 1245223809 |
| DENTON R ROBERTS | MD | 1699742395 |
| ADAM C REYNOLDS | M.D. | 1417916586 |
| DR. SCOTT ALAN LARSON | MD | 1992757991 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.