AMY JACKSON
NPI 1679425060
Technician/Technologist in Wilkes Barre, PA

Active since February 10, 2026
1155 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702(570) 235-1667(570) 235-1667 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amy Jackson NPPES

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

AMY JACKSON (NPI 1679425060) is an individual technician/technologist in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (230750) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1679425060
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameAMY JACKSON
Location Address1155 HIGHWAY 315 BLVDWilkes Barre, PA 18702-6928
Mailing Address1155 Highway 315 BlvdWilkes Barre, PA 18702-6928 · (570) 235-1667 · Fax (570) 235-1667
Fax(570) 235-1667
Sole ProprietorYes
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1679425060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
License Licensed in PA · 230750
Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

1155 HIGHWAY 315 BLVD, Wilkes Barre, PA 18702

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

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

Radiology (Diagnostic Ultrasound)
1155 HIGHWAY 315 BLVD
WILKES BARRE, PA 18702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679425060, enumerated as an "individual" on February 10, 2026.

The provider is located at 1155 HIGHWAY 315 BLVD WILKES BARRE, PA 18702 and the phone number is (570) 235-1667.

Technician/Technologist with taxonomy code 156F00000X.