DR. WAYNE STEWART JACKSON OD
NPI 1831174275
Optometrist in Whitehall, MI

Q: What is Wayne Jackson's NPI number?

The NPI number for Wayne Jackson is 1831174275. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Q: What is Wayne Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wayne Jackson was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 08, 2005

4613 DOUG DR, WHITEHALL, MI 49461(231) 894-9893 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Wayne Stewart Jackson Od NPPES

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

DR. WAYNE STEWART JACKSON OD (NPI 1831174275) is an individual optometrist in Whitehall, Michigan, licensed in Michigan (4901002699) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1831174275

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. WAYNE STEWART JACKSONCredential: OD

Location Address4613 DOUG DRWhitehall, MI 49461-9647

Mailing Address4613 Doug DrWhitehall, MI 49461-9647 · (231) 894-9893

Phone(231) 894-9893

Sole ProprietorNo

Enumeration DateDecember 8, 2005

Last NPPES UpdateJune 14, 2010

✔ NPI 1831174275 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 MI · 4901002699

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.

4613 DOUG DR, Whitehall, MI 49461

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Other Identifiers 2

Medicare NSC0182710001MI

Medicare UPINT33314

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 Wayne Jackson's NPI number?

The NPI number for Wayne Jackson is 1831174275. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Wayne Jackson located?

Wayne Jackson practices at 4613 Doug Dr, Whitehall, MI 49461. The listed phone number is (231) 894-9893.

What is Wayne 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 Wayne Jackson was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.