MR. JEREMY JACKSON NPI 1518568971

NPI Information

  • NPI: 1518568971
  • Provider Name: MR. JEREMY JACKSON
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 1240 PALM COAST PKWY SW
    PALM COAST, FL
    ZIP 32137
  • Phone: (386) 446-4210

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NPI Details

MR. Jeremy Jackson is an optician technician technologist in Palm Coast, FL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MR. Jeremy Jackson NPI is 1518568971. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1240 PALM COAST PKWY SW
PALM COAST, FL
ZIP 32137-700
Phone: (386) 446-4210

The enumeration date for this NPI number is 11/3/2020 and was last updated on 11/4/2020.

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
1156FX1800XTechnician/TechnologistOpticianDO6157FLORIDAYes

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: 11/21/2025

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