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

Jerreyll T Jackson MD PC

Organization Ophthalmology Physician · NPI 1235381732

Jerreyll T Jackson MD PC is an Ophthalmology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 E 46th St
New York, NY 10017-2417
Phone: (212) 889-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 237264 (NY)

Record details

NPI number1235381732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerreyll Jackson — Provider · (212) 889-1171
NPI enumeratedOctober 15, 2008
Last updated in NPPESDecember 8, 2008
Mailing address20 E 46th St, New York, NY 10017-2417

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