Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Chad Harman Jackson, MD

Individual provider Ophthalmology Physician · NPI 1184067498

Dr. Chad Harman Jackson, MD is an Ophthalmology in Boise, Idaho. Graduated from University of Kentucky College of Medicine in 2013, 13 years ago. Practices with Idaho Eyelid and Facial Plastic Surgery PLLC, a 3-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho, Nevada and Wisconsin.

Years since qualifying
13
Trained at
University of Kentucky College of Medicine
Licensed in
ID, NV, WI
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 W Main St Ste 200
Boise, ID 83702-7308
Phone: (208) 344-3220
Fax: (208) 344-0461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5435 Reno Corporate Dr Ste 100, Reno, NV 89511-2250 — (775) 322-3311
  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 567-8406
  • 925 N 87th St, Milwaukee, WI 53226-4812 — (414) 456-2020

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence M-15230 (ID)
Ophthalmology Physician Taxonomy 207W00000X · Licence 67198 (WI)
Ophthalmic Plastic and Reconstructive Surgery Physician Taxonomy 207WX0200X · Licence 18691 (NV)

Record details

NPI number1184067498
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2013
Last updated in NPPESJuly 21, 2022
Certification dateJuly 29, 2020
Mailing address111 W Main St Ste 200, Boise, ID 83702-7308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Idaho Eyelid And Facial Plastic Surgery Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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