IndividualActive
Kevin Jackson, OPTOMETRIST
NPI 1881724607 · Optometrist · Washington, DC
Provider details
- NPI number
- 1881724607
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OPTOMETRIST
- Sex
- Male
- Sole proprietor
- No
- License
- 615 (DC)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
7828 Eastern Ave Nw
Washington, DC 20012
Phone: (202) 829-2700
Fax: (202) 829-4033
Approximate (ZIP-level) locationGet directions
Mailing address
7828 Eastern Ave Nw
Washington, DC 20012
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.