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Michael Jackson, OD
NPI 1215091723 · Optometrist · Mankato, MN
Michael Jackson, OD is a Optometrist provider in Mankato, MN (NPI 1215091723).
Provider details
- NPI number
- 1215091723
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 2460 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1850 Adams St Ste 112
Mankato, MN 56001-4846
Phone: (507) 387-6358
Fax: (507) 387-4166
Street-level locationGet directions
Mailing address
11103 West Ave
San Antonio, TX 78213-1370
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2007-07-09
Frequently asked questions
- What is Michael Jackson's NPI number?
- Michael Jackson's National Provider Identifier (NPI) is 1215091723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Jackson's specialty?
- Michael Jackson is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Michael Jackson located?
- Michael Jackson's practice location on file with NPPES is 1850 Adams St Ste 112, Mankato, MN 56001-4846.
- What is Michael Jackson's phone number?
- The practice phone number listed in the NPPES registry for Michael Jackson is (507) 387-6358.
- Is Michael Jackson's NPI active?
- Yes — Michael Jackson's NPI (1215091723) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.