Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDOLPH THOMAS JACKSON, M.D.
ActiveOphthalmology · KANSAS CITY, KS
Registration Details
- NPI Number
- 1457310518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2006 (20.112559960159 yrs)
- Last Updated
- May 7, 2009
- Licenses
-
46566 (MN)10506 (MT)31896 (KS)2006012805 (MO)
Practice Information
- Address
-
11010 HASKELL AVEKANSAS CITY, KS, 661098500Browse KS providers · Browse ZIP 66109
- Phone
- 8164781230
- Fax
- 8163504166
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in KANSAS CITY, KS
| Name | Credential | NPI |
|---|---|---|
| KARL D HENDRICKS | M.D. | 1174525208 |
| SUJOTE DAVID | M.D. | 1891797965 |
| GURINDER SINGH | MD | 1356357230 |
| MARTIN A MAINSTER | M.D. | 1003972613 |
| DR. ANNE BERENBOM WISHNA | MD | 1215084439 |
| HASAN BAHRANI | MD | 1477767341 |
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.