OrganizationActive
Jackson Optical LLC
NPI 1639361322 · Optician · Port Charlotte, FL
Jackson Optical LLC is a Optician organization in Port Charlotte, FL (NPI 1639361322).
Provider details
- NPI number
- 1639361322
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Stephen Mason, Owner(941) 625-6602
- License
- OE702 (FL)
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
18 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
4265 Tamiami Trl
Suite G
Port Charlotte, FL 33980-2152
Phone: (941) 625-6602
Fax: (941) 625-0021
Street-level locationGet directions
Mailing address
4265 Tamiami Trl
Port Charlotte, FL 33980-2152
Registry dates
- Enumerated
- 2007-08-16
- Last updated
- 2007-10-22
Frequently asked questions
- What is Jackson Optical LLC's NPI number?
- Jackson Optical LLC's National Provider Identifier (NPI) is 1639361322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Optical LLC?
- Jackson Optical LLC is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
- Where is Jackson Optical LLC located?
- Jackson Optical LLC's practice location on file with NPPES is 4265 Tamiami Trl, Port Charlotte, FL 33980-2152.
- What is Jackson Optical LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Optical LLC is (941) 625-6602.
- Who is the authorized official for Jackson Optical LLC?
- The authorized official listed on Jackson Optical LLC's NPPES record is Stephen Mason, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Optical LLC's NPI active?
- Yes — Jackson Optical LLC's NPI (1639361322) is active in the NPPES registry as of the last update on 2007-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.