DR. Walter Lee Jackson II, OD

NPI #1073180741 in Columbus, Georgia

Provider Information

NPI Number: 1073180741
Entity Type: Individual
Name: DR. Walter Lee Jackson II, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 9, 2021
Last Updated: Jul 22, 2024

Practice Location

Address: 2616 WARM SPRINGS ROAD
City: Columbus
State: Georgia
ZIP Code: 31904-5323
Phone: (706) 507-7530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Occupational Vision — Occupational Vision	152WX0102X
Optometrist	152W00000X	Primary
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X

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