Jay Jackson OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001191 Issued in GA

Legal business name

JAY JACKSON OD PC

Practice address

5500 Abercorn St Ste 24
12 Oaks Shopping Center
Savannah, GA 31405-6917

Phone

(912) 352-3478

NPI assigned

Dec 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jay Jackson, O.D.

Title

Owner

Phone

(912) 352-3478

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1811328123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MONASTERY RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314111737",
            "telephone_number": "912-398-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 ABERCORN ST STE 24",
            "address_2": "12 OAKS SHOPPING CENTER",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056917",
            "telephone_number": "912-352-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY JACKSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-352-3478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Savannah, GA
• Providers in Savannah, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.