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DR. MARY MARGARET JACKOWSKI PHD OD
NPI 1154367498
Optometrist - Low Vision Rehabilitation in Syracuse, NY

Active since June 22, 2006
1101 ERIE BLVD EAST, SYRACUSE, NY 13210(315) 422-4412(315) 422-4690 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Margaret Jackowski Phd Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY MARGARET JACKOWSKI PHD OD (NPI 1154367498) is an individual low vision rehabilitation provider in Syracuse, New York, licensed in New York (TUV0049071) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1154367498
Entity TypeIndividualFemale
Primary Taxonomy152WL0500X
Provider Legal NameDR. MARY MARGARET JACKOWSKICredential: PHD OD
Location Address1101 ERIE BLVD EASTSyracuse, NY 13210-3087
Mailing Address133 Sunrise DrSyracuse, NY 13205-2818 · (315) 422-4412 · Fax (315) 422-4690
Phone(315) 422-4412
Fax(315) 422-4690
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154367498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License✔ Licensed in NY · TUV0049071
Definition
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.
1101 ERIE BLVD EAST, Syracuse, NY 13210
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Other Identifiers 3

Medicare UPINT26739
Medicare ID-Type Unspecified55775B
Medicaid01100292NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jackowski's NPI number?

The NPI number for Mary Jackowski is 1154367498. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Mary Jackowski located?

Mary Jackowski practices at 1101 Erie Blvd East, Syracuse, NY 13210. The listed phone number is (315) 422-4412.

What is Mary Jackowski's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

When was this NPI record last updated?

The NPPES record for Mary Jackowski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.