Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANI JACKSON, OD
Active Sole ProprietorTIFFANI JACKSON, OD is a Optometrist healthcare provider located in CROWNPOINT, New Mexico. NPI 1780161984 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CROWNPOINT, NM
Registration Details
- NPI Number
- 1780161984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2018 (7.9223547716415 yrs)
- Last Updated
- Jul 20, 2018
- License
-
0003415 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
HIGHWAY JUNCTION 57, ROUTE 9CROWNPOINT, NM, 87313Browse NM providers · Browse ZIP 87313
- Phone
- 5057862593
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CROWNPOINT, NM
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL DAVIS | O.D. | 1689670861 |
| KAREN MAI LINH TONG | O.D. | 1629325212 |
| DR. NAZRET GAIM WELDEGHIORGIS | O.D. | 1316356884 |
| DR. ROGER WILLIAM STUDD | OD, MPH | 1184140899 |
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.