Roosevelt T Jackson Jr. is a Riviera Beach, Florida based male Ophthalmologist who is specialized in Ophthalmology. Active license number of Roosevelt T Jackson Jr. is ME45529 in Florida.
Roosevelt T Jackson Jr. 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:
Roosevelt T Jackson Jr. 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. |
| Gender: | Male |
| Practice Address: | 31 W 20th St Ste 100, Riviera Beach,
Florida, 33404-6155 |
| Phone: | 561-510-0471 |
| Fax: | 561-331-2715 |
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.
| NPI Number: | 1295951374 |
| NPI Enumeration Date: | 17 Apr, 2007 |
| NPI Last Update On: | 17 Dec, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roosevelt T Jackson Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| ME45529 | | Florida | Primary | |
| ME45529 | Ophthalmology | Florida | Secondary | |
| ME45529 | Emergency Medicine | Florida | Secondary | |
| ME45529 | Family Medicine Addiction Medicine | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Roosevelt T Jackson Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 043150800 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 133 N State Road 7,
Plantation, Florida |
| Zip: | 33317-3100 |
| Phone Number: | 754-244-5132 |
| Fax Number: | 866-510-7555 |
Patients can reach Roosevelt T Jackson Jr. at
31 W 20th St Ste 100, Riviera Beach, Florida or can
call to book an appointment on 561-510-0471. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.