DR. MARY MARGARET JACKOWSKI PHD OD NPI 1154367498

NPI Information

NPI: 1154367498
Provider Name: DR. MARY MARGARET JACKOWSKI, PHD OD
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

Address:
1101 ERIE BLVD EAST
SYRACUSE, NY
ZIP 13210
Phone: (315) 422-4412
Get Directions

DR. Mary Margaret Jackowski, PHD OD is a low vision rehabilitation optometrist in Syracuse, NY. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. Mary Margaret Jackowski, PHD OD NPI is 1154367498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 ERIE BLVD EAST
SYRACUSE, NY
ZIP 13210-087
Phone: (315) 422-4412
Fax: (315) 422-4690

The enumeration date for this NPI number is 6/22/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WL0500X	Optometrist	Low Vision Rehabilitation	TUV0049071	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	T26739	MEDICARE UPIN
2	55775B	MEDICARE ID-TYPE UNSPECIFIED
3	01100292	MEDICAID	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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