| Dr Kreyton Dirk Jackson, OD | |
|
279 Sw 10th St, Ontario, OR 97914-2135 | |
| (541) 889-2020 | |
| (541) 889-9675 |
| Full Name | Dr Kreyton Dirk Jackson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 16 Years |
| Location | 279 Sw 10th St, Ontario, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982915203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3357AT (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Eye Pros Idaho Falls Llc | 6507184744 | 3 |
| Provider Name | Lwk P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851624019 PECOS PAC ID: 5890824247 Enrollment ID: O20100524000915 |
| Provider Name | Idaho Eye Pros Idaho Falls Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528494465 PECOS PAC ID: 6507184744 Enrollment ID: O20150418000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kreyton Dirk Jackson, OD 279 Sw 10th St, Ontario, OR 97914-2135 Ph: (541) 889-2020 | Dr Kreyton Dirk Jackson, OD 279 Sw 10th St, Ontario, OR 97914-2135 Ph: (541) 889-2020 |
Matthew D Georgeson Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1775 E Idaho Ave, Ontario, OR 97914 Phone: 208-830-2445 Fax: 541-889-5286 | |
Dr. Lacie Catherine Spagnola, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1257 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2191 Fax: 541-881-1523 | |
Family Eye Center Pa Optometrist Medicare: Medicare Enrolled Practice Location: 1257 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2191 Fax: 541-881-1523 | |
Dr. Randy H Norris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1257 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2191 Fax: 541-881-1523 | |
Dr. Ben Joseph Judson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1257 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2191 Fax: 541-881-1523 | |
Ann A Easly Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 279 Sw 10th St, Ontario, OR 97914 Phone: 541-889-2020 |