Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED JACKSON, M.D.
Active Sole ProprietorJARED JACKSON, M.D. is a Ophthalmology healthcare provider located in EDMOND, Oklahoma. NPI 1730476730 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · EDMOND, OK
Registration Details
- NPI Number
- 1730476730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2011 (15.155653495967 yrs)
- Last Updated
- Apr 21, 2020
- Licenses
-
29168 (OK)29168 (OK)11016020A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3431 S BOULEVARD STE 105EDMOND, OK, 730135514Browse OK providers · Browse ZIP 73013
- Phone
- 4057710880
- Fax
- 4055622116
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Medical Specialty Clinic
- Additional Specialty
- Student (Health Education/Training)
Other Ophthalmology Providers in EDMOND, OK
| Name | Credential | NPI |
|---|---|---|
| BRIAN DALE MORGAN | M.D. | 1083617054 |
| BRADLEY DON BRITTON | M.D. | 1033112016 |
| BRADLEY CLIFFORD TAYLOR | D.O. | 1902809643 |
| ROBERT D GOURLEY | MD | 1093704793 |
| MICHAEL ANDREW HOGUE | MD | 1902895600 |
| SCOTT C SIGLER | MD | 1427037548 |
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.