IndividualActive
Alyssa Jackson, OD
NPI 1174053433 · Optometrist · Clarksville, TN
Provider details
- NPI number
- 1174053433
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 3377 (TN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3929 Lamar Dr
Clarksville, TN 37040-3704
Phone: (931) 245-3979
Fax: (931) 647-0354
Approximate (ZIP-level) locationGet directions
Mailing address
3929 Lamar Dr Ste. B
Clarksville, TN 37040-1425
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2020-02-13
- Certified
- 2020-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.