Active NPI
Lauren Victoria Jackson, OD
- Optometrist
- Atlanta, GA
National Provider Identifier
1861323719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003742
- Practice address
- 1365 Clifton Rd NE BLDG B
Atlanta, GA 30322-1013 - Phone
- (404) 778-2020
- NPI assigned
- May 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003742 | GA | Primary |
Addresses
Primary practice location
1365 Clifton Rd NE BLDG B
Atlanta, GA 30322-1013
Mailing address
1365 Clifton Rd NE BLDG B
Atlanta, GA 30322-1013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003742 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1861323719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE BLDG B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE BLDG B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "404-778-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LAUREN",
"middle_name": "VICTORIA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.