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Jackson Optical LLC

Q: What type of organization is Jackson Optical LLC?

Jackson Optical LLC is registered in NPPES as a Optician (its primary provider taxonomy).

Optician in Port Charlotte, FL · enumerated 2007 · authorized official Stephen Mason, Owner.

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

National Provider Identifier

1639361322

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Registry record

Entity type Organization (Type 2)

Legal business name Jackson Optical LLC

Practice address 4265 Tamiami Trl, Suite G, Port Charlotte, FL, 33980

Phone (941) 625-6602

Fax (941) 625-0021

Enumeration date Aug 16, 2007

Last updated in NPPES Oct 22, 2007

Taxonomy & classification

156FX1800X Optician Eye and Vision Services Providers · License OE702 (FL) Primary

Authorized official

Name Stephen Mason

Title Owner

Phone (941) 625-6602

Other identifiers

Identifier	Type	State	Issuer
5488960001	Other	FL	PALMETTO

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 Jackson Optical LLC?

Jackson Optical LLC is registered in NPPES as a Optician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-22.