COLETTE JACKSON MD – NPI #1174943138
Ophthalmology

An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Health Care Provider Taxonomy Code for Ophthalmology

COLETTE JACKSON is an ophthalmologist located in BIRMINGHAM, AL. NPPES has assigned the NPI number 1174943138 to COLETTE JACKSON on April 17, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0110X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist

The NPI profile was previously updated about 7 years ago on May 22, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLETTE JACKSON below.

NPI Profile for
COLETTE JACKSON

NPI Number
1174943138
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
COLETTE JACKSON
Credentials
MD
Primary location
1000 19TH ST S
BIRMINGHAM, AL 35205-4804
Phone: (205) 930-0700 Fax: (205) 930-9127
1 Other location(s):
171 Ashley Ave
Charleston, SC 29425
Phone: (843) 792-1414
Mailing address
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone: (843) 792-6200 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0110X
- Ophthalmology / Pediatric Ophthalmology and Strabismus Specialist (Primary)		 AL 37977
390200000X
- Student in an Organized Health Care Education/Training Program
207W00000X
- Ophthalmology		 SC 52176

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE - Graduated 2014
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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