Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. David Kenneth Jackson, ABOC

Individual provider Optician · NPI 1851566467

Mr. David Kenneth Jackson, ABOC is an Optician in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2008

Practice location Address checks out

4200 Elderon Ave
Baltimore, MD 21215-4802
Phone: (410) 664-4508
Fax: (410) 664-0605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 072195 (MD)

Record details

NPI number1851566467
Entity typeIndividual (Type 1)
GenderMale
Credentials ABOC
Sole proprietorYes
NPI enumeratedApril 24, 2008
Last updated in NPPESApril 24, 2008

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