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

Devin Jackson

Individual provider Optometrist · NPI 1720574544

Devin Jackson is an Optometry in Colorado Springs, Colorado. Graduated from Southern College of Optometry in 2018, 8 years ago. Practices with Evergreen Optometry, PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Trained at
Southern College of Optometry
Licensed in
CO
In the registry since
2018
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Practice location Address checks out

3958 N Academy Blvd Ste 108
Colorado Springs, CO 80917-5911
Phone: (719) 999-8404
Fax: (719) 999-8402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 Main St, Canon City, CO 81212-3739 — (719) 431-6434

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0003396 (CO)

Record details

NPI number1720574544
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 4, 2018
Last updated in NPPESOctober 17, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Evergreen Optometry, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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