Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL WAYNE JACKSON, O.D.
ActiveDR. MICHAEL WAYNE JACKSON, O.D. is a Optometrist healthcare provider located in OAKLAND, California. NPI 1174593388 is currently active in the NPPES registry. Verify at CMS.
Optometrist · OAKLAND, CA
Registration Details
- NPI Number
- 1174593388
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.567898396003 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6056T (CA)
Practice Information
- Address
-
1741 BROADWAYOAKLAND, CA, 946122105Browse CA providers · Browse ZIP 94612
- Phone
- 5108358344
- Fax
- 5108358346
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in OAKLAND, CA
| Name | Credential | NPI |
|---|---|---|
| DR. COLLEEN CHEW TASHIRO | O.D. | 1700881117 |
| DR. PAYAM ZAREHBIN | O.D | 1164428942 |
| ANTHONY J. REVELLI | O.D. | 1568450575 |
| DR. TUONG-VI HOANG LE | DOCTOR OF OPTOMETRY | 1902895451 |
| DR. PAMELA TONG | OD | 1427032523 |
| TIMOTHY LEWIS SANDERS | OD | 1235115718 |
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.