NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kelli Jackson

Optometrist in Cleveland, TN · enumerated 2007 · authorized official Kelli Jackson, Optometrist.

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

National Provider Identifier

1619092574

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Kelli Jackson
Practice address 114 Stuart Rd Ne, #102, Cleveland, TN, 37312
Phone (252) 985-1371
Enumeration date Mar 20, 2007
Last updated in NPPES Jul 3, 2008

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 1566 (TN) Primary

Authorized official

Name Kelli Jackson
Title Optometrist
Phone (252) 985-1371

Other identifiers

Identifier Type State Issuer
P00265658 Other TN RAILROAD MEDICARE
3940088 Medicaid TN -
4134928 Other TN BCBS PROVIDER NUMBER

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Kelli Jackson?
Kelli Jackson is registered in NPPES as a Optometrist (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-03.