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Dr. Warren Jackson , OD

Optometrist β€’ Windham, ME

Active NPI 1992648133 Individual Practitioner Male Practitioner
Practice location in NPPES

656 Roosevelt Trl
Windham, ME 040625271

Call 2073893525 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

656 Roosevelt Trl

Windham, ME 040625271

Telephone 2073893525

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Windham and Maine

5 active clinicians are listed under Optometrist with a practice address in Windham, ME (310 in Maine).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-14
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES ME OPT1120

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maine State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1578129078

Doctor of Optometry

NPI 1932107620

Doctor of Optometry

Derek Vien

Optometrist

NPI 1851077101

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2026

Optometrist (license number reported to NPPES: ME OPT1120)

πŸ“
Updated Practice Location May 12, 2026

Registered at 656 ROOSEVELT TRL, WINDHAM, ME 040625271 (Tel: 2073893525)

πŸ“
Updated Business Mailing Address May 12, 2026

Registered at 656 ROOSEVELT TRL, WINDHAM, ME 040625271

πŸ‘€
Provider Name / Credentials Updated May 12, 2026

Recorded as WARREN JACKSON, OD

βœ…
NPI Profile Active April 13, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 13, 2026

Registered at 1225 MADISON AVE, MEMPHIS, TN 381042211 (Tel: 9017223250)

πŸ“
Business Mailing Address (Initial Record) April 13, 2026

Registered at 1245 MADISON AVE # 200, MEMPHIS, TN 381042211

πŸ‘€
Provider Name / Credentials (Initial Record) April 13, 2026

Recorded as WARREN JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2026

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 13, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992648133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2026
Last Update: June 14, 2026
Sole Proprietor: No

Other Optometrists in Windham

Mailing Address

656 Roosevelt Trl

Windham, ME 040625271

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.