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Randolph Thomas Jackson, M.D.

Ophthalmology Physician in Kansas City, KS · enumerated 2006 · practices at Eye Care, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457310518

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Registry record

Entity type Individual (Type 1)
Name Randolph Thomas Jackson
Credential M.D.
Sex Male
Practice address 11010 Haskell Ave, Kansas City, KS, 66109
Phone (816) 478-1230
Fax (816) 350-4166
Enumeration date Mar 18, 2006
Last updated in NPPES May 7, 2009

Taxonomy & licenses

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 46566 (MN) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 10506 (MT) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 31896 (KS) Primary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 2006012805 (MO) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
P00685107 Other KS RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Randolph Jackson?
Randolph Jackson is registered in NPPES with the primary taxonomy of Ophthalmology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-07.