Taylor Kiyota Jackson, OD
Optometrist · Frederick, CO
Practice location
5900 Keyes St Ste 101Frederick, CO 80504-5956
- Phone
- (303) 833-1056
NPI record
- NPI
- 1275158404
- Entity type
- Individual (Type 1)
- Enumeration date
- June 13, 2020
- Last updated
- May 15, 2021
- Certified
- May 15, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
OPT0003599 | CO |
Mailing address
6408 DRY Fork DrFrederick, CO 80516-9510
- Phone
- (303) 921-2307
Other practice locations (1)
- 1600 Iron Horse Dr Apt B102, Longmont, CO 80501-5704 · (303) 921-2307
About Dr. Jackson
Taylor Kiyota Jackson, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 5900 Keyes St Ste 101, Frederick, CO 80504-5956. The NPI number 1275158404 was assigned on June 13, 2020 and the record was last updated on May 15, 2021.
Dr. Jackson lists a license in the registry: #OPT0003599 (CO) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Taylor Kiyota Jackson, OD?
The NPI number is 1275158404.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (303) 833-1056.
Where is Dr. Jackson located?
5900 Keyes St Ste 101, Frederick, CO 80504-5956.
What is the taxonomy code for Dr. Jackson?
The primary taxonomy code is 152W00000X – Optometrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Optometrist providers in Frederick
- Michael Andrew Bagley, OD5900 Keyes St Ste 101
- Carbon Valley Eye Care5900 Keyes St Ste 101
- Michael Edward Koditek, O.D.5900 Keyes St Ste 101
- Jeffrey Berger, O.D.5900 Keyes St Ste 101