DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) – Glaucoma Specialist (Ophthalmology) Physician, NPI 1649658931

DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) is a healthcare provider. based in Boston, Massachusetts. specializing in Glaucoma Specialist (Ophthalmology) Physician. They hold the professional credentials MD MPH. They hold a License No. 278459 (MA). The NPI Number for DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) is 1649658931

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH)
NPI
1649658931
Phone
(617) 636-5000
Address
800 WASHINGTON ST
Enumeration Date
7 May 2015
Last Update Date
21 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135846422
Graduation Year
2015 (11 years ago)
PAC ID
9436439031
Group Practice PAC ID
1052343951
Professional Enrollment ID
I20190605000404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH)

  • 800 WASHINGTON ST

    BOSTON, MA 021111552

    Phone: (617) 636-5000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02111)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052343951View full group profile
NameSpecialtyState
-MA
O P H T H A L M O L O G YFL
O P T O M E T R YWA
O P H T H A L M O L O G YMA
-MA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
-MA
O P T O M E T R YMA

Reviews

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Frequently asked questions

Where can patients find DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH)'s NPI?
You can confirm DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) with NPI 1649658931; it appears in the national provider directory.
Does this profile mean DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) is currently active?
Yes — DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) appears active in the national provider directory.
What does DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) treat or focus on?
Patients typically see DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) under the specialty Glaucoma Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Does DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) practice in Massachusetts?
You will see Boston, Massachusetts on file for DR. DEIDRYA ANTOINETTE ELIZABETH JACKSON (MD MPH) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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