JACKSON, DAVID WAYNE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

JACKSON, DAVID WAYNE

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	OKLAHOMA EYE ASSOCIATES 10601 N MAY AVENUE THE VILLAGE OK 73120 Address last updated on 4/1/2024
Phone #:	(405) 286-2688
Fax #:	(405) 849-6152
County:	OKLAHOMA
License:	22766
Dated:	5/9/2002
Expires:	5/1/2025
License Type:	Medical Doctor
Specialty:	Ophthalmology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of NM Sch Of Med, Albuquerque Nm 87131
Graduated:	5 / 1997
CME Year:	2026

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF OPHTHALMOLOGY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc Coventry Health Care National Network Dept of Rehabilitation Services (DRS) First Health Global Health HMO Health Smart Preferred Care (HSPC) HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO Oklahoma Health Network PPO OSMA Health (formerly Plico PPO) PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) PPO USA Preferred Community Choice Private Healthcare Systems (PHCS) Railroad Medicare Secure Horizons HMO SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	OU Health Medical Center Oklahoma City, OK

Locations:	Hours:	Languages:
OKLAHOMA EYE ASSOCIATES 10601 N MAY AVENUE THE VILLAGE OK 73120 Phone #: (405) 286-2688 Fax #: (405) 849-6152	Mon: 7:45AM - 4:00PM Tue: 7:45AM - 4:00PM Wed: 7:45AM - 4:00PM Thu: 7:45AM - 4:00PM Fri: 7:45AM - 4:00PM Sat: Sun:

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