Gary Chase Jackson, O.D.

Optometrist · Odessa, TX

Individual Active NPI

NPI number 1992119838

Practice location

6030 W University Blvd
Odessa, TX 79764
Phone
(432) 640-6600

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NPI record

NPI
1992119838
Entity type
Individual (Type 1)
Enumeration date
June 18, 2014
Last updated
September 4, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 8568 TX
Optometrist 152W00000X ODP-100307 ID

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone
(432) 640-2408
Fax
(432) 640-4606

About Dr. Jackson

Gary Chase Jackson, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 6030 W University Blvd, Odessa, TX 79764. The NPI number 1992119838 was assigned on June 18, 2014 and the record was last updated on September 4, 2014.

Dr. Jackson lists 2 licenses in the registry: #8568 (TX) for Optometrist; #ODP-100307 (ID) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Chase Jackson, O.D.?

The NPI number is 1992119838.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (432) 640-6600.

Where is Dr. Jackson located?

6030 W University Blvd, Odessa, TX 79764.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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