Active NPI
Jackson Eye Center PLLC
- Ophthalmology Physician
- Kingman, AZ
National Provider Identifier
1528983798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JACKSON EYE CENTER PLLC
- Practice address
- 710 Eastern St Ste F
Kingman, AZ 86401-5486 - Phone
- (928) 224-0536
- Fax
- (928) 628-3308
- NPI assigned
- Aug 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd Lincoln Jackson Sr., MD, MPH
- Title
- President/Manager
- Phone
- (702) 767-7048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
710 Eastern St Ste F
Kingman, AZ 86401-5486
Mailing address
710 Eastern St Ste F
Kingman, AZ 86401-5486
Phone (928) 224-0536
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1528983798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 EASTERN ST STE F",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864015486",
"telephone_number": "928-224-0536",
"fax_number": "928-628-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 EASTERN ST STE F",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864015486",
"telephone_number": "928-224-0536",
"fax_number": "928-628-3308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON EYE CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-13",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "LINCOLN",
"authorized_official_title_or_position": "PRESIDENT/MANAGER",
"authorized_official_telephone_number": "702-767-7048",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD, MPH"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.