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

Lee Sa B. Jackson, MD

Individual provider Ophthalmology Physician · NPI 1306837042

Lee Sa B. Jackson, MD is an Ophthalmology in Mesa, Arizona. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1992, 34 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
34
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4824 E Baseline Rd Ste 110
Mesa, AZ 85206-4676
Phone: (480) 615-2020
Fax: (480) 219-9957
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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 25793 (AZ)

Record details

NPI number1306837042
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address4824 E Baseline Rd, Ste 110, Mesa, AZ 85206-4678

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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