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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WALTER LEE JACKSON II, OD

Active Sole Proprietor

DR. WALTER LEE JACKSON II, OD is a Optometrist healthcare provider located in COLUMBUS, Georgia. NPI 1073180741 is currently active in the NPPES registry. Verify at CMS.

Optometrist · COLUMBUS, GA

Registration Details

NPI Number
1073180741
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2021 (5.20217019594 yrs)
Last Updated
Jul 22, 2024
Licenses
S-E78 (AL)
S-E78-TA-C17 (AL)
OPT003364 (GA)
S-E78 (AL)
S-E78-TA-C17 (AL)
Sole Proprietor
Yes

Practice Information

Address
2616 WARM SPRINGS ROAD
COLUMBUS, GA, 319045323
Browse GA providers · Browse ZIP 31904
Phone
7065077530
Fax
7062219797
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in COLUMBUS, GA

Name Credential NPI
DR. WILLIAM T. YOE O.D. 1871588798
DR. JUDSON RAY IRELAND JR. O.D. 1396714416
DR. JENNIFER STOWE O.D. 1225098833
THEA ROSSI OD 1104884873
DR. DAVID A ROSSELLO O.D. 1558329771
DR. TIMOTHY ADKINS ROSS OD 1033143615
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.