Chad J. Jackson, Od, PLLC
NPI 1477730919ActiveOrganization· Optometrist· Rockford, MI
Optometrist in Rockford, Michigan, registered in NPPES in January 2008. The authorized official on file is Chad J. Jackson, OD, Sole Member/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477730919 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2008 |
| Last updated in NPPES | Nov 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901003954 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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