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

Tracy A Jackson, OD

Individual provider Optometrist · NPI 1821177692

Tracy A Jackson, OD is an Optometry in Waconia, Minnesota. Graduated from Ohio State University - College of Optometry in 1994, 32 years ago. Practices with Lakeview Clinic, Ltd, a 53-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
32
Trained at
Ohio State University - College of Optometry
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

424 W State Highway 5
Waconia, MN 55387-1723
Phone: (952) 442-4461
Fax: (952) 442-1218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2905 (MN)

Record details

NPI number1821177692
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address424 W State Highway 5, Waconia, MN 55387-1723

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1994 (32 years in practice)
Group practice Lakeview Clinic, Ltd. — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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