PARKSIDE EYE CLINIC P.C.
NPI 1861777161
Ophthalmology in Jackson, MI

Q: What is Parkside Eye Clinic P.C.'s NPI number?

The NPI number for Parkside Eye Clinic P.C. is 1861777161. It was assigned to this organization in the NPPES registry on October 18, 2011.

Q: What is Parkside Eye Clinic P.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since October 18, 2011

2108 FOURTH STREET, JACKSON, MI 49203(517) 787-8443(517) 787-0701 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Parkside Eye Clinic P.c. NPPES

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

PARKSIDE EYE CLINIC P.C. (NPI 1861777161) is a healthcare organization registered as an ophthalmology in Jackson, Michigan and active in the NPI registry since October 2011. The organization lists Ghulam Dastgir, President, as its authorized official.

NPPES Registry Identity

NPI1861777161

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NamePARKSIDE EYE CLINIC P.C.

Location Address2108 FOURTH STREETJackson, MI 49203-4518

Mailing Address2108 Fourth StreetJackson, MI 49203-4518 · (517) 787-8443 · Fax (517) 787-0701

Phone(517) 787-8443

Fax(517) 787-0701

Organization SubpartNo

Authorized OfficialGhulam DastgirPresident · (517) 787-8443

Enumeration DateOctober 18, 2011

✔ NPI 1861777161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MI · 4301036386

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2108 FOURTH STREET, Jackson, MI 49203

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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

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 Parkside Eye Clinic P.C.'s NPI number?

The NPI number for Parkside Eye Clinic P.C. is 1861777161. It was assigned to this organization in the NPPES registry on October 18, 2011.

Where is Parkside Eye Clinic P.C. located?

Parkside Eye Clinic P.C. is located at 2108 Fourth Street, Jackson, MI 49203. The listed phone number is (517) 787-8443.

What is Parkside Eye Clinic P.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Parkside Eye Clinic P.C. was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.