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Deactivated NPI 1740334598 Deactivated / Inactive NPI Male Practitioner

Dr. Gregory Donald Jackson , OD

Optometrist • Joliet, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gregory Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date April 20, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Jackson, OD was a registered Optometrist practicing in Joliet, IL. Throughout an active medical career spanning 15 years, Dr. Jackson provided care at the practice location at 1960 ESSINGTON RD until profile deactivation on 2022-04-20.

Practice Location & Contact Primary Location

Practice Address

1960 Essington Rd
Suite 102

Joliet, IL 604351616

Telephone 8154368605
Associated Practice Facility / Clinic
🏢 Andrew Wahl And Ada Paolucci Facility NPI 1245418847

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Joliet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
25 Specialists

Practicing in Joliet, IL (2783 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

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 0046006736

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Gabriella Paolucci , DDS

Dentist - General Practice

NPI 1023137353

Doctor of Dental Surgery

NPI 1053478479

Doctor of Podiatric Medicine

NPI 1063579472

Doctor of Podiatric Medicine

Dr. Regina Paolucci-Delsasso , DDS

Dentist - General Practice

NPI 1598884330

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 20, 2022

Record deactivated on April 20, 2022

NPI Profile Active March 02, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 02, 2010

Registered at 1960 ESSINGTON RD, SUITE 102, JOLIET, IL 604351616 (Tel: 8154368605)

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Updated Business Mailing Address March 02, 2010

Registered at 1051 GRENADA DR, AURORA, IL 605061651 (Tel: 6308593133)

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Provider Name / Credentials Updated March 02, 2010

Recorded as GREGORY JACKSON, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2010

Optometrist (License #0046006736 in IL)

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Initial NPI Registration & Enumeration January 22, 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: 1740334598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: March 02, 2010
Deactivation Date: April 20, 2022

Mailing Address

1051 Grenada Dr

Aurora, IL 605061651

Phone: 6308593133

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.