Individual
DR. WALTER LEE JACKSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2616 WARM SPRINGS ROAD, COLUMBUS, GA 31904-5323
(706) 507-7530
(706) 221-9797
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003364
GA
152W00000X
Optometrist
S-E78
AL
152W00000X
Optometrist
S-E78-TA-C17
AL
152WL0500X
Low Vision Rehabilitation Optometrist
S-E78
AL
152WL0500X
Low Vision Rehabilitation Optometrist
S-E78-TA-C17
AL
152WX0102X
Occupational Vision Optometrist
S-E78
AL
152WX0102X
Occupational Vision Optometrist
S-E78-TA-C17
AL
Other
Enumeration date
06/09/2021
Last updated
04/23/2026
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