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Deactivated NPI 1588657217 Deactivated / Inactive NPI Male Practitioner

Dr. Melvin E. Jackson , OD

Optometrist • Virginia Beach, VA

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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. Melvin Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2005
NPI Deactivation Date April 09, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Melvin Jackson, OD was a registered Optometrist practicing in Virginia Beach, VA. Throughout an active medical career spanning 21 years, Dr. Jackson provided care at the practice location at 4642 HAYGOOD RD until profile deactivation on 2026-04-09.

Practice Location & Contact Primary Location

Practice Address

4642 Haygood Rd
Suite 1

Virginia Beach, VA 234555436

Telephone 7574645842
Fax 7574644745
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Virginia Beach, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
83 Specialists

Practicing in Virginia Beach, VA (1522 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 VA 0618000174

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.

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 09, 2026

Record deactivated on April 09, 2026

NPI Profile Active November 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2008

Registered at 4642 HAYGOOD RD, SUITE 1, VIRGINIA BEACH, VA 234555436 (Tel: 7574645842)

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Updated Business Mailing Address November 07, 2008

Registered at 4642 HAYGOOD RD, SUITE 1, VIRGINIA BEACH, VA 234555436 (Tel: 7574645842)

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Provider Name / Credentials Updated November 07, 2008

Recorded as MELVIN JACKSON, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2008

Optometrist (License #0618000174 in VA)

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Initial NPI Registration & Enumeration August 29, 2005

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: 1588657217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2005
Last Update: November 07, 2008
Deactivation Date: April 09, 2026

Mailing Address

4642 Haygood Rd, Suite 1

Virginia Beach, VA 234555436

Phone: 7574645842

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.