1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Optometrist
  6. NPI Profile

DR. JACLYN MARIE MCKENZIE O.D.
NPI 1013210160
Optometrist in Ann Arbor, MI

Active since December 13, 2010PECOS EnrolledAccepts Medicare Assignment
3601 WASHTENAW AVE, ANN ARBOR, MI 48104(734) 973-1712(734) 973-1712 Get Directions Write a Review

NPPES record last updated: December 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jaclyn Marie Mckenzie O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACLYN MARIE MCKENZIE O.D. (NPI 1013210160) is an individual optometrist in Ann Arbor, Michigan, licensed in Michigan (4901004609) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1013210160
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACLYN MARIE MCKENZIECredential: O.D.
Location Address3601 WASHTENAW AVEAnn Arbor, MI 48104-5277
Mailing Address5048 Pinewood DrBrighton, MI 48116-5132 · (810) 923-4826
Phone(734) 973-1712
Fax(734) 973-1712
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 13, 2010
✔ NPI 1013210160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901004609
Definition
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.
3601 WASHTENAW AVE, Ann Arbor, MI 48104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jaclyn Marie Mckenzie O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42444622
PECOS Enrollment IDI20131015000544
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
54 services43 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
29 services16 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
28 services28 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
24 services13 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
18 services17 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA ELIZABETH DARNELL O.D.
Optometrist
3601 WASHTENAW AVE
ANN ARBOR, MI 48104
Washtenaw County (734) 973-1969
DR. MARIAN VICTORIA WARDELL O.D.
Optometrist
3601 WASHTENAW AVE, SUITE E
ANN ARBOR, MI 48104
Washtenaw County (734) 973-1969

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Mckenzie's NPI number?

The NPI number for Jaclyn Mckenzie is 1013210160. It was assigned to this individual provider in the NPPES registry on December 13, 2010.

Where is Jaclyn Mckenzie located?

Jaclyn Mckenzie practices at 3601 Washtenaw Ave, Ann Arbor, MI 48104. The listed phone number is (734) 973-1712.

What is Jaclyn Mckenzie's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jaclyn Mckenzie enrolled in Medicare?

Yes. Jaclyn Mckenzie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaclyn Mckenzie accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Jaclyn Mckenzie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Mckenzie was last updated on December 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.