Randolph Thomas Jackson is a Kansas City, Kansas based male Ophthalmologist with 24 years of experience in Ophthalmology. He completed his graduation from Medical College Of Georgia School Of Medicine in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Randolph Thomas Jackson is 31896 for Ophthalmology in Kansas. Randolph Thomas Jackson is 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, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Randolph Thomas Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
24+ years
Medical School Attended:
Medical College Of Georgia School Of Medicine
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
11010 Haskell Ave, Kansas City, Kansas, 66109-8500
Phone:
816-478-1230
Fax:
816-350-4166
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8022080324
Enrollment ID:
I20070518000384
NPI Number:
1457310518
NPI Enumeration Date:
18 Mar, 2006
NPI Last Update On:
07 May, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randolph Thomas Jackson are as mentioned below.
License Number
Specialization
State
Status
31896
Ophthalmology
Kansas
Primary
46566
Ophthalmology
Minnesota
Secondary
10506
Ophthalmology
Montana
Secondary
2006012805
Ophthalmology
Missouri
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Randolph Thomas Jackson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Eye Care Llc (4385544600)
34
Eye Care Llc (4385544600)
34
Other Medical Identifiers:
Other legacy medical identifiers associated with Randolph Thomas Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00685107
Other
Kansas
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4801 S Cliff Ave, Suite 100 Independence, Missouri
Zip:
64055-7015
Phone Number:
816-350-4536
Fax Number:
816-350-4585
Patients can reach Randolph Thomas Jackson at 11010 Haskell Ave, Kansas City, Kansas or can call to book an appointment on 816-478-1230. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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