Bella Vista Family Eye Care

LBN: Chad J. Jackson, Od, Pllc
Bella Vista Family Eye Care is an health care organization with primary practice located at 6575 Belding Rd Ne Suite D, Rockford MI 49341-7418. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Chad J. Jackson, Od, Pllc can be contacted via phone (616) 874-2020, or through Jackson, Chad J. via phone (616) 874-2020.

Contact Information

Primary practice address
6575 Belding Rd Ne Suite D Rockford MI 49341-7418
Phone: (616) 874-2020
Fax: (616) 874-2773
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Chad J. Doctor of Optometry (OD)
Phone: (616) 874-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003954 Michigan

Profile Details

NPI number 1477730919
LBN Legal business name Chad J. Jackson, Od, Pllc
DBA Doing business as Bella Vista Family Eye Care
Authorized official Jackson, Chad J. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Nov 26th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477730919 NPPES
Michigan MEDICAID 4925900

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