| Jackson Eyecare, Pc | |
|
1250 E Magnolia St, Fort Collins, CO 80524-2702 | |
| (970) 224-0606 | |
| (970) 493-9309 |
| Full Name | Jackson Eyecare, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1250 E Magnolia St, Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396878328 | NPI | - | NPPES |
| 90701283 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2187 (Colorado) | Primary |
| Provider Name | David M Banford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245251982 PECOS PAC ID: 0042216285 Enrollment ID: I20061011000789 |
| Provider Name | Mark D Jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023015005 PECOS PAC ID: 2365331725 Enrollment ID: I20100615000638 |
| Provider Name | Lance E Bloom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912331877 PECOS PAC ID: 1557595162 Enrollment ID: I20131015001755 |
| Provider Name | Anne-marie Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326398967 PECOS PAC ID: 8426284464 Enrollment ID: I20131120001913 |
| Provider Name | Ewing R Mcclelland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568690774 PECOS PAC ID: 3375697733 Enrollment ID: I20150518001387 |
| Provider Name | Amanda D Estrada |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245789569 PECOS PAC ID: 1254612278 Enrollment ID: I20170106000662 |
| Provider Name | Ngoc H Phan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376020511 PECOS PAC ID: 7810247939 Enrollment ID: I20180911000427 |
| Provider Name | Steve Stout |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083707590 PECOS PAC ID: 0749221158 Enrollment ID: I20240119002427 |
| Provider Name | Katheryn Janelle Engel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255016994 PECOS PAC ID: 6800338682 Enrollment ID: I20240607002061 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Eyecare, Pc 1250 E Magnolia St, Fort Collins, CO 80524-2702 Ph: (970) 224-0606 | Jackson Eyecare, Pc 1250 E Magnolia St, Fort Collins, CO 80524-2702 Ph: (970) 224-0606 |
Lisa M Schneider, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 702 W Drake Rd Bldg B, Fort Collins, CO 80526 Phone: 970-221-4811 | |
Virginia Vision Care Assoc., L.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 W Mountain Ave, Fort Collins, CO 80524 Phone: 970-407-0665 | |
Ensight Skills Center, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1101 Oakridge Dr Unit C, Fort Collins, CO 80525 Phone: 970-407-9999 Fax: 970-207-9844 | |
Dr. Jesica Mali Siriwardane, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2720 Council Tree Ave Ste 148, Fort Collins, CO 80525 Phone: 970-530-3097 | |
Dr. Mark D Jackson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1250 E Magnolia St, Fort Collins, CO 80524 Phone: 970-224-0606 Fax: 970-493-9309 | |
Dr. Sean M Mahaney, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1725 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-221-2222 | |
Edge Optics Llc Optometrist Medicare: Medicare Enrolled Practice Location: 121 Laporte Ave, Fort Collins, CO 80524 Phone: 970-682-2627 |