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

Taylor Kiyota Jackson, OD

Individual provider Optometrist · NPI 1275158404

Taylor Kiyota Jackson, OD is an Optometry in Frederick, Colorado. Graduated from Southern California College of Optometry in 2020, 6 years ago. Practices with Carbon Valley Eye Care, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Trained at
Southern California College of Optometry
Licensed in
CO
In the registry since
2020
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

5900 Keyes St Ste 101
Frederick, CO 80504-5956
Phone: (303) 833-1056
Show map & directions

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

Additional practice locations (1)

  • 1600 Iron Horse Dr Apt B102, Longmont, CO 80501-5704 — (303) 921-2307

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT0003599 (CO)

Record details

NPI number1275158404
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 13, 2020
Last updated in NPPESMay 15, 2021
Certification dateMay 15, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Carbon Valley Eye Care — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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