Wayne Stewart Jackson, OD

Optometrist · Whitehall, MI

Individual Active NPI

NPI number 1831174275

Practice location

4613 Doug Dr
Whitehall, MI 49461-9647
Phone
(231) 894-9893

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NPI record

NPI
1831174275
Entity type
Individual (Type 1)
Enumeration date
December 8, 2005
Last updated
June 14, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 4901002699 MI

About Dr. Jackson

Wayne Stewart Jackson, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4613 Doug Dr, Whitehall, MI 49461-9647. The NPI number 1831174275 was assigned on December 8, 2005 and the record was last updated on June 14, 2010.

Dr. Jackson lists a license in the registry: #4901002699 (MI) 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 Wayne Stewart Jackson, OD?

The NPI number is 1831174275.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (231) 894-9893.

Where is Dr. Jackson located?

4613 Doug Dr, Whitehall, MI 49461-9647.

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.

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