Search › Idaho › Ophthalmology Physician
Chad Jackson, MD
NPI 1184067498 · on the registry since 2013
Practice
- Address
- 111 W Main St Ste 200
Boise, ID 83702 - Phone
- (208) 344-3220
- Fax
- (208) 344-0461
- Organisation at this address
- Idaho Eyelid & Facial Plastic Surgery , Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 4502 Medical Dr, San Antonio, TX
- 925 N 87th St, Milwaukee, WI
- 5435 Reno Corporate Dr Ste 100, Reno, NV
Registry record
- Primary taxonomy
- Ophthalmology Physician
207W00000X
- Also registered as
- Ophthalmology Physician
Ophthalmic Plastic and Reconstructive Surgery Physician - Licence states on file
- WI, NV, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho