RUSSELL B JACKSON OD
NPI 1912181967
Optometrist in Fillmore, UT

Active since December 27, 2007
210 S 100 W, FILLMORE, UT 84631(435) 743-6572(435) 743-5558 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell B Jackson Od NPPES

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

RUSSELL B JACKSON OD (NPI 1912181967) is a healthcare organization registered as an optometrist in Fillmore, Utah and active in the NPI registry since December 2007. The organization lists Russell B Jackson, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1912181967
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJACKSON EYE CARE, INC
Location Address210 S 100 WFillmore, UT 84631
Mailing AddressPo Box 73Fillmore, UT 84631-0073 · (435) 743-6572 · Fax (435) 743-5558
Fax(435) 743-5558
Organization SubpartNo
Authorized OfficialRussell B JacksonOwner Operator · (435) 743-6572
Enumeration DateDecember 27, 2007
NPI 1912181967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in UT · 375344-9934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
210 S 100 W, Fillmore, UT 84631

Other Names 1

Doing Business AsRussell B Jackson Od

Other Identifiers 3

Medicare NSC5241060001UT
Medicaid528882505001UT
Medicare UPINU78782UT

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.

Clinic/Center (Hearing and Speech)
210 S 100 W
FILLMORE, UT 84631

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 Eye Care, Inc's NPI number?

The NPI number for Jackson Eye Care, Inc is 1912181967. It was assigned to this organization in the NPPES registry on December 27, 2007. The provider is doing business as Russell B Jackson Od.

Where is Jackson Eye Care, Inc located?

Jackson Eye Care, Inc is located at 210 S 100 W, Fillmore, UT 84631. The listed phone number is (435) 743-6572.

What is Jackson Eye Care, Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jackson Eye Care, Inc was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.