P Praxis·MD
● Active Type 1 · Individual

DR. Walter Lee Jackson II, OD

Optometrist·Columbus, GA· NPI 1073180741 · Enumerated 2021 · 4 years on NPI
Jackson is 1 of 38 optometrist providers in Columbus and 1 of 2375 in Georgia.
NPI age
4 years
Enumerated 2021-06-09
Primary specialty
Optometrist
Plus 6 subspecialties
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2375 active optometrist providers in Georgia.

NPI age
4 years
↓ 12 yr below median (16 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
2
In the 15% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Practice location
2616 Warm Springs Road
Columbus, GA 319045323
📞 7065077530fax 7062219797
Mailing address
Po Box 11407
Birmingham, AL 352468575
📞 8643591308

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
6600 Whittlesey Blvd Bldg A
Columbus, GA 31909
📞 7063233491
Location 3
2012 10th Ave
Columbus, GA 319011460
📞 7063233491

Specialties

  • Optometrist Primary
    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...
    GA license #OPT003364AL license #S-E78AL license #S-E78-TA-C17 taxonomy 152W00000X
  • Optometrist
    Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.
    AL license #S-E78AL license #S-E78-TA-C17 taxonomy 152WX0102X
  • Optometrist
    Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
    AL license #S-E78-TA-C17AL license #S-E78 taxonomy 152WL0500X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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