Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kevin Ryan Jackson, O.D.

Optometrist in Bowling Green, KY · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588977508

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Registry record

Entity type Individual (Type 1)

Name Dr. Kevin Ryan Jackson

Credential O.D.

Sex Male

Practice address 484 Golden Autumn Way Ste 201, Bowling Green, KY, 42103

Phone (270) 780-2494

Fax (270) 780-0465

Enumeration date Jul 19, 2010

Last updated in NPPES Nov 10, 2021

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 1814DT (KY) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kevin Jackson's NPI record?

Cross-check NPI 1588977508 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1588977508 active?

Yes, as of the latest NPPES snapshot, NPI 1588977508 is active (record last updated 2021-11-10).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-10.