Russell Jackson, OD

ActiveIndividual ProviderOptometry
NPI issued: July 22, 2005

Quick Facts

NPI Number
1922008663
TypeIndividual
StatusActive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(435) 743-6572
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1922008663)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 22, 2005)
Data source: CMS NPPES

Provider Overview

RUSSELL JACKSON, OD is a Optometry provider based in Fillmore, UT who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1922008663
Provider TypeIndividual Provider
GenderMale
CredentialOD
StatusActive
Enumeration DateJuly 22, 2005

Practice Location

CityFillmore
StateUT
ZIP Code84631-2500
Phone(435) 743-6572

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StateUT

Mailing Address

CityFillmore
StateUT
ZIP Code84631-2500
Phone(435) 743-6572
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1922008663 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1922008663for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1922008663 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
95,009
Optometry Providers in the US

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People Also Ask

What is Russell Jackson's NPI number?
Russell Jackson's NPI number is 1922008663, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Russell Jackson's NPI currently active?
Yes, Russell Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Russell Jackson specialize in?
Russell Jackson specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does Russell Jackson practice?
Russell Jackson practices in Fillmore, UT 84631-2500.
When was Russell Jackson's NPI issued?
Russell Jackson's NPI was issued on July 22, 2005.
What is Russell Jackson's provider type?
Russell Jackson is registered as an Individual Provider under CMS NPI Type 1.