JERREYLL TRAVIS JACKSON MD NPI 1629009576

NPI Information

Jerreyll Travis Jackson, MD is an ophthalmology in Long Island City, NY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Jerreyll Travis Jackson, MD NPI is 1629009576. 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:

4604 31ST AVE
LONG ISLAND CITY, NY
ZIP 11103-842
Phone: (212) 889-1171

The enumeration date for this NPI number is 7/6/2006 and was last updated on 12/8/2008.

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:

Other Identifiers

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