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

Mrs. Jade Jackson, LDO

Individual provider Optician · NPI 1679630842

Mrs. Jade Jackson, LDO is an Optician in Palm Coast, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
3

Practice location Address checks out

1240 Palm Coast Pkwy SW
Palm Coast, FL 32137-4700
Phone: (386) 446-4210
Fax: (386) 445-7309
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence DO3668 (FL)
Optician Taxonomy 156FX1800X · Licence DO5189 (FL)
Optician Taxonomy 156FX1800X · Licence DO1284 (FL)

Record details

NPI number1679630842
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing address1240 Palm Coast Pkwy Sw, Palm Coast, FL 32137-4700

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