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David Jackson, ABOC — NPI 1851566467, Baltimore, MD | NPI Central

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NPI 1851566467

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David Jackson, ABOC

NPI 1851566467 · Optician · Baltimore, MD

Provider details

NPI number: 1851566467
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Credential: ABOC
Sex: Male
Sole proprietor: Yes
License: 072195 (MD)

Specialties & taxonomies

OpticianPrimary156FX1800XLicense 072195 (MD)
Eye and Vision Services Providers

Practice location

4200 Elderon Ave

Baltimore, MD 21215-4802

Phone: (410) 664-4508

Fax: (410) 664-0605

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

4200 Elderon Ave

Baltimore, MD 21215-4802

Registry dates

Enumerated: 2008-04-24
Last updated: 2008-04-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.