Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679630842 Individual Practitioner Female Practitioner

Jade Jackson , LDO

Technician/Technologist - Optician • Palm Coast, FL

Professional Overview & Biography Verified Profile Summary

Jade Jackson, LDO is a registered healthcare professional specializing in Technician/Technologist - Optician in Palm Coast, FL. Practice services are available at 1240 PALM COAST PKWY SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1240 Palm Coast Pkwy Sw

Palm Coast, FL 321374700

Telephone 3864464210
Fax 3864457309
Associated Practice Facility / Clinic
🏢 Eye-Style Optical Facility NPI 1699826552

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Palm Coast, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Palm Coast, FL (686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-19
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License FL DO3668

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Technician/Technologist - Optician

NUCC Taxonomy Code: 156FX1800X

State License FL DO5189

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Technician/Technologist - Optician

NUCC Taxonomy Code: 156FX1800X

State License FL DO1284

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
630073100 (FL)
Commercial Insurance / Payer ID Eye-Med
OP0463 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1316998529

Doctor of Optometry

Jeremy Jackson

Technician/Technologist - Optician

NPI 1518568971

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 19, 2020

Registered at 1240 PALM COAST PKWY SW, PALM COAST, FL 321374700 (Tel: 3864464210)

📍
Updated Business Mailing Address October 19, 2020

Registered at 1240 PALM COAST PKWY SW, PALM COAST, FL 321374700 (Tel: 3864464210)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7 OLD KINGS RD N STE 32, PALM COAST, FL 321378247 (Tel: 3864464210)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7 OLD KINGS RD N STE 32, PALM COAST, FL 321378247 (Tel: 3864464210)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JADE JACKSON, L.D.O

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Technician/Technologist (License #DO5189 in FL)

🟢
Initial NPI Registration & Enumeration January 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679630842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2007
Last Update: October 19, 2020
Sole Proprietor: No

Mailing Address

1240 Palm Coast Pkwy Sw

Palm Coast, FL 321374700

Phone: 3864464210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.