DR. MICHAEL WAYNE JACKSON O.D.
NPI 1174593388
Optometrist in Oakland, CA
- Individual
- Male
- Optometrist
About MICHAEL JACKSON
This page provides the complete NPI Profile along with additional information for Michael Jackson, a provider established in Oakland, California with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1174593388 assigned on January 2006. The practitioner's primary taxonomy code is 152W00000X with license number 6056T (CA). The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1174593388 Verify this NPI
- Provider Name
- DR. MICHAEL WAYNE JACKSON O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1741 BROADWAY OAKLAND, CA 94612
- Location Phone
- (510) 835-8344
- Location Fax
- (510) 835-8346
- Mailing Address
- 1741 BROADWAY OAKLAND, CA 94612
- Mailing Phone
- (510) 835-8344
- Mailing Fax
- (510) 835-8346
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-23-2006
- Last Update Date
- 07-13-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 6056T
- License State
- CA
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0060560 | MEDICAID (05) | CA |
Reviews for DR. MICHAEL WAYNE JACKSON O.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174593388, enumerated as an "individual" on January 23, 2006.
The provider is located at 1741 BROADWAY OAKLAND, CA 94612 and the phone number is (510) 835-8344.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
