OrganizationActive
Kelli Jackson
NPI 1619092574 · Optometrist · Cleveland, TN
Kelli Jackson is a Optometrist organization in Cleveland, TN (NPI 1619092574).
Provider details
- NPI number
- 1619092574
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kelli Jackson, Optometrist(252) 985-1371
- License
- 1566 (TN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 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
114 Stuart Rd Ne
#102
Cleveland, TN 37312-4803
Phone: (252) 985-1371
Street-level locationGet directions
Mailing address
Po Box 7396
Rocky Mount, NC 27804-0396
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2008-07-03
Frequently asked questions
- What is Kelli Jackson's NPI number?
- Kelli Jackson's National Provider Identifier (NPI) is 1619092574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelli Jackson?
- Kelli Jackson is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Kelli Jackson located?
- Kelli Jackson's practice location on file with NPPES is 114 Stuart Rd Ne, Cleveland, TN 37312-4803.
- What is Kelli Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kelli Jackson is (252) 985-1371.
- Who is the authorized official for Kelli Jackson?
- The authorized official listed on Kelli Jackson's NPPES record is Kelli Jackson, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelli Jackson's NPI active?
- Yes — Kelli Jackson's NPI (1619092574) is active in the NPPES registry as of the last update on 2008-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.