DR. RACHELLE MORIAH JACKSON O.D. NPI 1710410717

NPI Information

  • NPI: 1710410717
  • Provider Name: DR. RACHELLE MORIAH JACKSON, O.D.
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4167 FRANKLIN RD STE 2A
    MURFREESBORO, TN
    ZIP 37128
  • Phone: (615) 295-8585

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NPI Details

DR. Rachelle Moriah Jackson, O.D. is a vision therapy optometrist in Murfreesboro, TN with 10 years of experience. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. Rachelle Moriah Jackson, O.D. NPI is 1710410717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduation Year:2016

The provider's business location address is:

4167 FRANKLIN RD STE 2A
MURFREESBORO, TN
ZIP 37128-257
Phone: (615) 295-8585

The NPI 1710410717 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 4/6/2017 and was last updated on 10/3/2023.

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
1152W00000XOptometristTN3351TENNESSEENo
2152WV0400XOptometristVision Therapy3351TENNESSEEYes

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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