Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID KENNETH JACKSON, ABOC
Active Sole ProprietorMR. DAVID KENNETH JACKSON, ABOC is a Optician, Dispensing healthcare provider located in BALTIMORE, Maryland. NPI 1851566467 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BALTIMORE, MD
Registration Details
- NPI Number
- 1851566467
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2008 (18.266212094405 yrs)
- Last Updated
- Apr 24, 2008
- License
-
072195 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4200 ELDERON AVEBALTIMORE, MD, 212154802Browse MD providers · Browse ZIP 21215
- Phone
- 4106644508
- Fax
- 4106640605
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| MR. ANDRE HAROLD SMITH | — | 1487681540 |
| MR. ARNOLD TRETTON III | — | 1871644872 |
| CAROLYN RENEE PLAYER | — | 1356541783 |
| MR. CLARK LANG | — | 1841488103 |
| MR. ODELL ARTTO SMITH JR. | OPTICIAN | 1063699700 |
| PATRICK KELLY | ABOC | 1821322710 |
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.