Taylor Kiyota Jackson is a Frederick, Colorado based female Optometrist with 4 years of experience in Optometry. She completed her graduation from Southern California College Of Optometry in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Taylor Kiyota Jackson is OPT0003599 for Optometry in Colorado. Taylor Kiyota Jackson examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Taylor Kiyota Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
4+ years
Medical School Attended:
Southern California College Of Optometry
Graduation Year:
2020
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
5900 Keyes St Ste 101, Frederick, Colorado, 80504-5956
Phone:
303-833-1056
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7315361839
Enrollment ID:
I20200716003074
NPI Number:
1275158404
NPI Enumeration Date:
13 Jun, 2020
NPI Last Update On:
15 May, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Taylor Kiyota Jackson are as mentioned below.
License Number
Specialization
State
Status
OPT0003599
Optometry
Colorado
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Taylor Kiyota Jackson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Michael E Koditek Od Pc (1557585528)
3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6408 Dry Fork Dr, Frederick, Colorado
Zip:
80516-9510
Phone Number:
303-921-2307
Fax Number:
--
Patients can reach Taylor Kiyota Jackson at 5900 Keyes St Ste 101, Frederick, Colorado or can call to book an appointment on 303-833-1056. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.