JACKSON OPTICAL LLC
NPI 1639361322
Technician/Technologist - Optician in Port Charlotte, FL

Q: What is Jackson Optical LLC's NPI number?

The NPI number for Jackson Optical LLC is 1639361322. It was assigned to this organization in the NPPES registry on August 16, 2007.

Q: What is Jackson Optical LLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Active since August 16, 2007

4265 TAMIAMI TRL, SUITE G, PORT CHARLOTTE, FL 33980(941) 625-6602(941) 625-0021 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackson Optical Llc NPPES

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

JACKSON OPTICAL LLC (NPI 1639361322) is a healthcare organization registered as an optician in Port Charlotte, Florida and active in the NPI registry since August 2007. The organization lists Stephen Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1639361322

Entity TypeOrganization

Primary Taxonomy156FX1800X

Legal Business NameJACKSON OPTICAL LLC

Location Address4265 TAMIAMI TRL, SUITE GPort Charlotte, FL 33980-2152

Mailing Address4265 Tamiami Trl, Suite GPort Charlotte, FL 33980-2152 · (941) 625-6602 · Fax (941) 625-0021

Phone(941) 625-6602

Fax(941) 625-0021

Organization SubpartNo

Authorized OfficialStephen MasonOwner · (941) 625-6602

Enumeration DateAugust 16, 2007

Last NPPES UpdateOctober 22, 2007

✔ NPI 1639361322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers

Taxonomy Code156FX1800X

License✔ Licensed in FL · OE702

Definition

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

4265 TAMIAMI TRL, Port Charlotte, FL 33980

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Other Identifiers 1

Other5488960001FL · Palmetto

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MATTHEW LUTTRELL

Pharmacist