Jade Jackson, L.D.O

Optician · Palm Coast, FL

Individual Active NPI

NPI number 1679630842

Practice location

1240 Palm Coast Pkwy SW
Palm Coast, FL 32137-4700
Phone
(386) 446-4210
Fax
(386) 445-7309

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NPI record

NPI
1679630842
Entity type
Individual (Type 1)
Enumeration date
January 3, 2007
Last updated
October 19, 2020
Certified
October 19, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X DO3668 FL
Optician 156FX1800X DO5189 FL
Optician 156FX1800X DO1284 FL

About Jade Jackson

Jade Jackson, L.D.O is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 1240 Palm Coast Pkwy SW, Palm Coast, FL 32137-4700. The NPI number 1679630842 was assigned on January 3, 2007 and the record was last updated on October 19, 2020.

Jade Jackson lists 3 licenses in the registry: #DO3668 (FL) for Optician; #DO5189 (FL) for Optician; #DO1284 (FL) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jade Jackson, L.D.O?

The NPI number is 1679630842.

What is the phone number of Jade Jackson?

The phone number listed for the practice location is (386) 446-4210.

Where is Jade Jackson located?

1240 Palm Coast Pkwy SW, Palm Coast, FL 32137-4700.

What is the taxonomy code for Jade Jackson?

The primary taxonomy code is 156FX1800X – Optician; 2 more listed above.

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.

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