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

Mr. Jeremy Jackson

Individual provider Optician · NPI 1518568971

Mr. Jeremy Jackson is an Optician in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

1240 Palm Coast Pkwy SW
Palm Coast, FL 32137-4700
Phone: (386) 446-4210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence DO6157 (FL)

Record details

NPI number1518568971
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address1240 Palm Coast Pkwy Sw, Palm Coast, FL 32137-4700

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