- Practice location
- 656 Roosevelt Trl, Windham, ME 04062-5271
- Phone
- 207-389-3525
- Fax
- —
- Last updated
- June 14, 2026
Warren Jackson is an Optometrist based in Windham, ME. Warren Jackson practices in Windham, ME and has the professional credentials of OD. The NPI Number for Warren Jackson is 1992648133 and holds a License No. OPT1120 (ME). The current practice location address for Warren Jackson is 656 Roosevelt Trl, Windham, ME 04062-5271 and can be reached out via phone at 207-389-3525.
Provider Profile Details
- NPI Number
- 1992648133
- Provider Name
- Warren Jackson
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 656 Roosevelt Trl, Windham, ME 04062-5271
- Phone Number
- 207-389-3525
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2026
- Last Update Date
- June 14, 2026
- Certification Date
- June 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 656 Roosevelt Trl
Windham, ME 04062-5271 - City
- Windham
- State
- Maine
- Zip
- 04062-5271
- Phone Number
- 207-389-3525
Provider Business Mailing Address Details
- Address
- 656 Roosevelt Trl
Windham, ME 04062-5271 - City
- Windham
- State
- ME
- Zip
- 04062-5271
License Information
- License Number
- OPT1120
- License State
- ME
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Windham, ME
View all Optometrists in Windham →Frequently Asked Questions
What is the NPI number of Dr. Warren Jackson, OD?
The NPI number of Dr. Warren Jackson, OD is 1992648133. It was assigned on April 13, 2026 and is currently active in the NPPES registry.
What is the specialty of Dr. Warren Jackson, OD?
Dr. Warren Jackson, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number OPT1120.
Where does Dr. Warren Jackson, OD practice?
The practice location is 656 Roosevelt Trl, Windham, ME 04062-5271. The office can be reached at 207-389-3525 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992648133 directly on the NPPES registry website.