NPI 1184067498

Chad Harman Jackson, MD

Practitioner Ophthalmology Physician Boise, ID

Practice location

Address: 111 W Main St STE 200, Boise, ID 83702-7308
Phone: (208) 344-3220
Fax: (208) 344-0461

Registered specialties (3)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M-15230 (ID)

Other Ophthalmology providers in Idaho →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 67198 (WI)

Ophthalmic Plastic and Reconstructive Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207WX0200X Licence 18691 (NV)

Registry record

NPI: 1184067498
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2013
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.