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Deactivated NPI 1285637546 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Jackson , OD

Optometrist • Fairfield, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Jackson, OD was a registered Optometrist practicing in Fairfield, OH. Throughout an active medical career spanning 1 years, Dr. Jackson provided care at the practice location at 574 SYMMES RD until profile deactivation on 2006-03-20.

Practice Location & Contact Primary Location

Practice Address

574 Symmes Rd

Fairfield, OH 450146806

Telephone 5138638847
Fax 5138634257

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fairfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.7 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Fairfield, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3179 T496

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated October 12, 2017

Record deactivated on October 12, 2017

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Updated Practice Location September 26, 2008

Registered at 574 SYMMES RD, FAIRFIELD, OH 450146806 (Tel: 5138638847)

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Updated Business Mailing Address September 26, 2008

Registered at 574 SYMMES RD, FAIRFIELD, OH 450146806

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Provider Name / Credentials Updated September 26, 2008

Recorded as RICHARD JACKSON, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2008

Optometrist (License #3179 T496 in OH)

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NPI Profile Reactivated March 27, 2006

Record officially reactivated for active practice on March 27, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration May 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285637546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2005
Last Update: September 26, 2008
Deactivation Date: March 20, 2006

Mailing Address

574 Symmes Rd

Fairfield, OH 450146806

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.