Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851566467 Individual Practitioner Male Practitioner

David Kenneth Jackson , ABOC

Technician/Technologist - Optician • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

David Jackson, ABOC is a registered healthcare professional specializing in Technician/Technologist - Optician in Baltimore, MD. Practice services are available at 4200 ELDERON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4200 Elderon Ave

Baltimore, MD 212154802

Telephone 4106644508
Fax 4106640605
Associated Practice Facility / Clinic
🏢 Mobile Optical Service, Llc Facility NPI 1447402193

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Baltimore, MD

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

Practicing in Baltimore, MD (59 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

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License MD 072195

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2008

Registered at 4200 ELDERON AVE, BALTIMORE, MD 212154802 (Tel: 4106644508)

📍
Updated Business Mailing Address April 24, 2008

Registered at 4200 ELDERON AVE, BALTIMORE, MD 212154802 (Tel: 4106644508)

👤
Provider Name / Credentials Updated April 24, 2008

Recorded as DAVID JACKSON, ABOC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Technician/Technologist (License #072195 in MD)

🟢
Initial NPI Registration & Enumeration April 24, 2008

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: 1851566467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2008
Last Update: April 24, 2008
Sole Proprietor: Yes

Mailing Address

4200 Elderon Ave

Baltimore, MD 212154802

Phone: 4106644508

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.