ALLEN THOMAS JACKSON MD NPI 1932151479

NPI Information

  • NPI: 1932151479
  • Provider Name: ALLEN THOMAS JACKSON, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1201 S RIDGEWOOD AVE
    DAYTONA BEACH, FL
    ZIP 32114
  • Phone: (386) 492-7718

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NPI Details

Allen Thomas Jackson, MD is an ophthalmology in Daytona Beach, FL with 41 years of experience. 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. Allen Thomas Jackson, MD NPI is 1932151479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:1985

The provider's business location address is:

1201 S RIDGEWOOD AVE
DAYTONA BEACH, FL
ZIP 32114-123
Phone: (386) 492-7718
Fax: (386) 492-7720

The NPI 1932151479 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), Power Mobility Devices.

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.

  • Closure of tear duct opening using plug (HCPCS:68761)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Photography of the retina (HCPCS:92250)
  • Imaging of retina (HCPCS:92134)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of optic nerve (HCPCS:92133)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Destruction of growth of retina using a laser (HCPCS:67210)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 3/7/2023.

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
1207W00000XOphthalmologyME80695FLORIDAYes

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 Other Provider Identifier Issuer
1001628800MEDICAIDFLORIDA

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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