Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERREYLL TRAVIS JACKSON, MD
Active Sole ProprietorJERREYLL TRAVIS JACKSON, MD is a Ophthalmology healthcare provider located in LONG ISLAND CITY, New York. NPI 1629009576 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · LONG ISLAND CITY, NY
Registration Details
- NPI Number
- 1629009576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (19.964706633862 yrs)
- Last Updated
- Dec 8, 2008
- Licenses
-
25MA07982400 (NJ)043661 (CT)237264 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4604 31ST AVELONG ISLAND CITY, NY, 111031842Browse NY providers · Browse ZIP 11103
- Phone
- 2128891171
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in LONG ISLAND CITY, NY
| Name | Credential | NPI |
|---|---|---|
| DR. GARY STUART HIRSHFIELD | M.D. | 1063415420 |
| DR. THEODORE LYU | M.D. | 1760704803 |
| MATTHEW FEINSOD | MD | 1972800829 |
| DR. SUMAYYA AHMAD | M.D. | 1760777064 |
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.