David Kenneth Jackson, ABOC

Optician · Baltimore, MD

Individual Active NPI

NPI number 1851566467

Practice location

4200 Elderon Ave
Baltimore, MD 21215-4802
Phone
(410) 664-4508
Fax
(410) 664-0605

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NPI record

NPI
1851566467
Entity type
Individual (Type 1)
Enumeration date
April 24, 2008
Last updated
April 24, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X 072195 MD

About David Jackson

David Kenneth Jackson, ABOC is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 4200 Elderon Ave, Baltimore, MD 21215-4802. The NPI number 1851566467 was assigned on April 24, 2008 and the record was last updated on April 24, 2008.

David Jackson lists a license in the registry: #072195 (MD) 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 David Kenneth Jackson, ABOC?

The NPI number is 1851566467.

What is the phone number of David Jackson?

The phone number listed for the practice location is (410) 664-4508.

Where is David Jackson located?

4200 Elderon Ave, Baltimore, MD 21215-4802.

What is the taxonomy code for David Jackson?

The primary taxonomy code is 156FX1800X – Optician.

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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