Individual provider · Type 1 NPI

Michael Wayne Jackson, OD

Optometrist · Oakland, CA

NPI number 1174593388 Active

Practice location

1741 Broadway
Oakland, CA 94612-2105

Fax (510) 835-8346

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X6056T (CA)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1174593388

Michael Wayne Jackson, OD's National Provider Identifier is 1174593388, issued on Jan 23, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Oakland, CA. The record was last updated on Jul 13, 2026.