| Erin Atwater Jackson, OD | |
|
415 Semora Rd, Roxboro, NC 27573-5185 | |
| (336) 599-0246 | |
| (336) 597-3356 |
| Full Name | Erin Atwater Jackson |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 17 Years |
| Location | 415 Semora Rd, Roxboro, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184871626 | NPI | - | NPPES |
| 5910510 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2114 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patty Vision Center Od Pa | 0143200584 | 4 |
| Provider Name | Patty Vision Center Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548217755 PECOS PAC ID: 0143200584 Enrollment ID: O20040724000414 |
| Provider Name | Inview Eye Care 2, Od, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285107136 PECOS PAC ID: 0840530135 Enrollment ID: O20190325000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Atwater Jackson, OD 415 Semora Rd, Roxboro, NC 27573-5185 Ph: (336) 599-0246 | Erin Atwater Jackson, OD 415 Semora Rd, Roxboro, NC 27573-5185 Ph: (336) 599-0246 |
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