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

Michael Jackson, OD

Individual provider Optometrist · NPI 1215091723

Michael Jackson, OD is an Optometrist in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1850 Adams St Ste 112
Mankato, MN 56001-4846
Phone: (507) 387-6358
Fax: (507) 387-4166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2460 (MN)

Record details

NPI number1215091723
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESJuly 9, 2007
Mailing address11103 West Ave, Suite 6, San Antonio, TX 78213-1370

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