Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Optical LLC

Organization Optician · NPI 1639361322

Jackson Optical LLC is an Optician in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4265 Tamiami Trl Ste G
Port Charlotte, FL 33980-2152
Phone: (941) 625-6602
Fax: (941) 625-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence OE702 (FL)

Record details

NPI number1639361322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Mason — Owner · (941) 625-6602
NPI enumeratedAugust 16, 2007
Last updated in NPPESOctober 22, 2007
Mailing address4265 Tamiami Trl, Suite G, Port Charlotte, FL 33980-2152

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