Jackson Vision LLC
Jackson Vision LLC is a healthcare organization registered as Optometrist in Jackson, MI, holding Type 2 (organization) NPI 1043349467 since 2007. The authorized official on file is Steven Johnson, Optometrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043349467 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Vision LLC |
| Other name | <Unavail> |
| Practice address | 817 W GANSON ST, Jackson, MI, 49202 |
| Phone | 5177824300 |
| Fax | 5177824708 |
| Enumeration date | 2007-03-02 |
| Last updated in NPPES | 2014-04-16 |
Authorized official
| Name | Steven Johnson |
|---|---|
| Title | Optometrist |
| Phone | 5177824300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 4901003631 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900C810850 | Other | MI | BCBS |
| 22-20042 | Other | MI | PHP # |
Copy-ready billing details
Provider: Jackson Vision LLC NPI: 1043349467 Taxonomy: 152W00000X (Optometrist) Address: 817 W GANSON ST, Jackson, MI, 49202
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366413072 | Steven Johnson | Individual | Optometrist | Jackson, MI |
Verify this record
Cross-check NPI 1043349467 against the authoritative CMS record: view Jackson Vision LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Jackson Vision LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-04-16.