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DR. WALTER LEE JACKSON OD NPI 1073180741


NPI Information

NPI: 1073180741
Provider Name: DR. WALTER LEE JACKSON, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
700 19TH ST S
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 933-8101
Get Directions

DR. Walter Lee Jackson, OD is an optometrist in Birmingham, AL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Walter Lee Jackson, OD NPI is 1073180741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 19TH ST S
BIRMINGHAM, AL
ZIP 35233-927
Phone: (205) 933-8101

The NPI 1073180741 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/9/2021 and was last updated on 8/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristS-E78-TA-C17ALABAMAYes
2152W00000XOptometristS-E78ALABAMANo
3152WL0500XOptometristLow Vision RehabilitationS-E78-TA-C17ALABAMANo
4152WL0500XOptometristLow Vision RehabilitationS-E78ALABAMANo
5152WX0102XOptometristOccupational VisionS-E78-TA-C17ALABAMANo
6152WX0102XOptometristOccupational VisionS-E78ALABAMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.