JACKSON EYE CARE LLC
NPI 1770186751
Ophthalmology - Retina Specialist in Livingston, NJ
- Organization
- Ophthalmology
- Retina Specialist
- CLIA Number: 31D2257143
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-30-2026
About JACKSON EYE CARE LLC
This page provides the complete NPI Profile along with additional information for Jackson Eye Care Llc, a provider established in Livingston, New Jersey operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1770186751 assigned on November 2020. The practitioner's primary taxonomy code is 207WX0107X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kurt Jackson Md (Owner)
- NPI
- 1770186751 Verify this NPI
- Provider Name
- JACKSON EYE CARE LLC
- Entity Type
- Organization
- Location Address
- 22 OLD SHORT HILLS RD STE 202 LIVINGSTON, NJ 07039
- Location Phone
- (973) 902-6312
- Mailing Address
- 22 OLD SHORT HILLS RD STE 202 LIVINGSTON, NJ 07039
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-20-2020
- Last Update Date
- 01-27-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2257143
- Facility Type
- Physician Office
- Certificate Effective Date
- March 31, 2024
- Certificate Expiration Date
- March 30, 2026
- Laboratory Director
- KURT T. JACKSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jackson Eye Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LIVINGSTON, NJ 07039
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770186751, enumerated as an "organization" on November 20, 2020.
The provider is located at 22 OLD SHORT HILLS RD STE 202 LIVINGSTON, NJ 07039 and the phone number is (973) 902-6312.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
