Dr Walter Lee Jackson Ii, OD is a medicare enrolled "Optometrist" provider in Columbus, Georgia. His current practice location is
2616 Warm Springs Road, Columbus, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 507-7530.
Dr Walter Lee Jackson Ii is licensed to practice in Georgia (license number OPT003364) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073180741.
Healthcare Provider's Profile
| Full Name | Dr Walter Lee Jackson Ii |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2616 Warm Springs Road, Columbus, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Walter Lee Jackson Ii attended and graduated from in
NPI Data:
- NPI Number: 1073180741
- Provider Enumeration Date: 06/09/2021
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Walter Lee Jackson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073180741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152WX0102X | Optometrist - Occupational Vision | S-E78 (Alabama) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | S-E78-TA-C17 (Alabama) | Secondary |
| 152W00000X | Optometrist | OPT003364 (Georgia) | Primary |
| 152W00000X | Optometrist | S-E78 (Alabama) | Secondary |
| 152W00000X | Optometrist | S-E78-TA-C17 (Alabama) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | S-E78 (Alabama) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | S-E78-TA-C17 (Alabama) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Walter Lee Jackson Ii is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Walter Lee Jackson Ii, OD
Po Box 11407,
Birmingham, AL 35246-5323
Ph: (706) 323-3491 | Dr Walter Lee Jackson Ii, OD
2616 Warm Springs Road,
Columbus, GA 31904-5323
Ph: (706) 507-7530 |
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