Individual Healthcare Provider
Chad Harman Jackson, MD
Provider's NPPES record last updated: July 21, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1184067498
- Primary Specialty
- Ophthalmology
- Practice Location
- Boise, Idaho
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:50 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Ophthalmology
Allopathic & Osteopathic Physicians
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Taxonomy code 207W00000X Ophthalmology
Ophthalmic Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Taxonomy code 207WX0200X
Provider-Reported License Information
- Ophthalmology (Idaho)
- M-15230
- Ophthalmology (Wisconsin)
- 67198
- Ophthalmology (Nevada)
- 18691
Practice Locations
Practice Location
111 W Main St Ste 200
Boise, Idaho 83702-7308
Phone: (208) 344-3220
Additional Practice Location
4502 Medical Dr
San Antonio, Texas 78229-4402
Phone: (210) 567-8406
Additional Practice Location
925 N 87th St
Milwaukee, Wisconsin 53226-4812
Phone: (414) 456-2020
Fax: (414) 456-6300
Additional Practice Location
5435 Reno Corporate Dr Ste 100
Reno, Nevada 89511-2250
Phone: (775) 322-3311
Fax: (775) 322-8388
Record Information
- Enumeration Date
- April 17, 2013
- Provider's NPPES Record Last Updated
- July 21, 2022
- Certification Date
- July 29, 2020
- NPISignal NPPES Dataset
- August 2026
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