JACKSON OCULOFACIAL AND COSMETIC SURGERY PA
NPI 1689285819
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Houston, TX

Active since August 11, 2020
3636 GREENBRIAR DR STE 2A, HOUSTON, TX 77098(832) 899-5699 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2022, Aug 11, 2020 (2 updates tracked since 2020).

About Jackson Oculofacial And Cosmetic Surgery Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON OCULOFACIAL AND COSMETIC SURGERY PA (NPI 1689285819) is a healthcare organization registered as an ophthalmic plastic and reconstructive surgery in Houston, Texas and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Houston and lists Jenell Jackson, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1689285819
Entity TypeOrganization
Primary Taxonomy207WX0200X
Legal Business NameJACKSON OCULOFACIAL AND COSMETIC SURGERY PA
Location Address3636 GREENBRIAR DR STE 2AHouston, TX 77098-4004
Mailing Address1213 Hermann Dr Ste 540Houston, TX 77004-7089 · (404) 790-7628
Organization SubpartNo
Authorized OfficialJenell JacksonManaging Physician · (404) 790-7628
Enumeration DateAugust 11, 2020
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
NPI 1689285819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
3636 GREENBRIAR DR STE 2A, Houston, TX 77098

Secondary Practice Location 1

Location 11213 Hermann Dr Ste 540Houston, TX 77004-7089 · Phone (404) 790-7628

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
3636 GREENBRIAR DR STE 2A
HOUSTON, TX 77098

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Oculofacial And Cosmetic Surgery PA's NPI number?

The NPI number for Jackson Oculofacial And Cosmetic Surgery PA is 1689285819. It was assigned to this organization in the NPPES registry on August 11, 2020.

Where is Jackson Oculofacial And Cosmetic Surgery PA located?

Jackson Oculofacial And Cosmetic Surgery PA is located at 3636 Greenbriar Dr Ste 2A, Houston, TX 77098. The listed phone number is (832) 899-5699.

What is Jackson Oculofacial And Cosmetic Surgery PA's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

When was this NPI record last updated?

The NPPES record for Jackson Oculofacial And Cosmetic Surgery PA was last updated on February 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.