Jerreyll Travis Jackson is a Long Island City, New York based male Ophthalmologist who is specialized in Ophthalmology. Active license number of Jerreyll Travis Jackson is 237264 for Ophthalmology in New York. Jerreyll Travis 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:
Jerreyll Travis 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:
MD
Gender:
Male
Practice Address:
4604 31st Ave, Long Island City, New York, 11103-1842
Phone:
212-889-1171
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:
1629009576
NPI Enumeration Date:
06 Jul, 2006
NPI Last Update On:
08 Dec, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerreyll Travis Jackson are as mentioned below.
License Number
Specialization
State
Status
237264
Ophthalmology
New York
Primary
25MA07982400
Ophthalmology
New Jersey
Secondary
043661
Ophthalmology
Connecticut
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jerreyll Travis Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2751471
Medicaid
New York
02884251
Medicaid
New York
0168092
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4604 31st Ave, Long Island City, New York
Zip:
11103-1842
Phone Number:
212-889-1171
Fax Number:
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Patients can reach Jerreyll Travis Jackson at 4604 31st Ave, Long Island City, New York or can call to book an appointment on 212-889-1171. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.