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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL WAYNE JACKSON O.D.
NPI 1174593388
Optometrist in Oakland, CA

Active since January 23, 2006
1741 BROADWAY, OAKLAND, CA 94612(510) 835-8344(510) 835-8346 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Wayne Jackson O.d. NPPES

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

DR. MICHAEL WAYNE JACKSON O.D. (NPI 1174593388) is an individual optometrist in Oakland, California, licensed in California (6056T) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1174593388
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL WAYNE JACKSONCredential: O.D.
Location Address1741 BROADWAYOakland, CA 94612-2105
Mailing Address1741 BroadwayOakland, CA 94612-2105 · (510) 835-8344 · Fax (510) 835-8346
Phone(510) 835-8344
Fax(510) 835-8346
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1174593388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 6056T
Definition
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.
1741 BROADWAY, Oakland, CA 94612
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Other Identifiers 1

MedicaidSD0060560CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAJLEEN KAUR ARORA OD
Optometrist
1741 BROADWAY
OAKLAND, CA 94612
Alameda County (510) 835-8344

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 Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1174593388. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Michael Jackson located?

Michael Jackson practices at 1741 Broadway, Oakland, CA 94612. The listed phone number is (510) 835-8344.

What is Michael Jackson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Michael Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.