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Deactivated NPI 1750377271 Deactivated / Inactive NPI Male Practitioner

Dr. Ralph H Jackson , OD

Optometrist • Edinburg, TX

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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. Ralph Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Jackson, OD was a registered Optometrist practicing in Edinburg, TX. Throughout an active medical career spanning 1 years, Dr. Jackson provided care at the practice location at 105 DAWSON ST until profile deactivation on 2006-03-23.

Historical Medicare Part B clinical services included multiple measurements of eye fluid pressure over an extended time period, photography of content of eyes, photography of the retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

105 Dawson St

Edinburg, TX 785396401

Telephone 9563838700
Fax 9563801715

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Edinburg, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.4 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Edinburg, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
12.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92100 Multiple measurements of eye fluid pressure over an extended time period
170 116 $78.87 $77.83
92285 Photography of content of eyes
163 114 $24.36 $20.62
92250 Photography of the retina
162 114 $57.78 $32.76
92014 Established patient complete exam of visual system
118 87 $131.44 $121.32
92004 New patient complete exam of visual system
30 30 $153.20 $144.09
92012 Established patient problem focused exam of visual system
26 15 $104.31 $85.40

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 2148TG

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 January 24, 2024

Record deactivated on January 24, 2024

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Updated Practice Location December 11, 2013

Registered at 105 DAWSON ST, EDINBURG, TX 785396401 (Tel: 9563838700)

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Updated Business Mailing Address December 11, 2013

Registered at 105 DAWSON ST, EDINBURG, TX 785396401 (Tel: 9563838700)

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Provider Name / Credentials Updated December 11, 2013

Recorded as RALPH JACKSON, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2013

Optometrist (License #2148TG in TX)

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NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration September 20, 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: 1750377271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2005
Last Update: December 11, 2013
Deactivation Date: March 23, 2006

Mailing Address

105 Dawson St

Edinburg, TX 785396401

Phone: 9563838700

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.