Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992648133 Individual Practitioner Male Practitioner

Dr. Warren Jackson , OD

Optometrist • Windham, ME

Professional Overview & Biography Verified Profile Summary

Dr. Warren Jackson, OD is a registered healthcare professional specializing in Optometrist in Windham, ME. Practice services are available at 656 ROOSEVELT TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

656 Roosevelt Trl

Windham, ME 040625271

Telephone 2073893525

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Windham, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Windham, ME (324 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: 2026-06-14
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ME OPT1120

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

5 Associated Practitioners
NPI 1568356988

Doctor of Optometry

NPI 1578129078

Doctor of Optometry

NPI 1760308639

Doctor of Optometry

Derek Vien

Optometrist

NPI 1851077101
NPI 1932107620

Doctor of Optometry

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2026

Optometrist (License #OPT1120 in ME)

📍
Updated Practice Location May 12, 2026

Registered at 656 ROOSEVELT TRL, WINDHAM, ME 040625271 (Tel: 2073893525)

📍
Updated Business Mailing Address May 12, 2026

Registered at 656 ROOSEVELT TRL, WINDHAM, ME 040625271

👤
Provider Name / Credentials Updated May 12, 2026

Recorded as WARREN JACKSON, OD

NPI Profile Active April 13, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2026

Registered at 1225 MADISON AVE, MEMPHIS, TN 381042211 (Tel: 9017223250)

📍
Updated Business Mailing Address April 13, 2026

Registered at 1245 MADISON AVE # 200, MEMPHIS, TN 381042211

👤
Provider Name / Credentials Updated April 13, 2026

Recorded as WARREN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2026

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 13, 2026

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: 1992648133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2026
Last Update: June 14, 2026
Sole Proprietor: No

Mailing Address

656 Roosevelt Trl

Windham, ME 040625271

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.