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RUSSELL B JACKSON OD
NPI 1922008663
Optometrist in Fillmore, UT

Active since July 22, 2005
210 S 100 E, FILLMORE, UT 84631(435) 743-6572(435) 743-5558 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: August 23, 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 1922008663) is an individual optometrist in Fillmore, Utah, licensed in Utah (375344-9934) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1922008663
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRUSSELL B JACKSONCredential: OD
Location Address210 S 100 EFillmore, UT 84631-2500
Mailing AddressPo Box 73Fillmore, UT 84631-0073 · (435) 743-6572 · Fax (435) 743-5558
Phone(435) 743-6572
Fax(435) 743-5558
Sole ProprietorNo
Enumeration DateJuly 22, 2005
Last NPPES UpdateDecember 5, 2007
✔ NPI 1922008663 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 E, Fillmore, UT 84631
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Other Identifiers 2

Medicare UPINU78782
Other37534499300001UT · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Russell Jackson's NPI number?

The NPI number for Russell Jackson is 1922008663. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Russell Jackson located?

Russell Jackson practices at 210 S 100 E, Fillmore, UT 84631. The listed phone number is (435) 743-6572.

What is Russell Jackson's specialty?

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

What insurance does Russell Jackson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Russell Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russell Jackson was last updated on December 5, 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.