JACKSON VISION
NPI 1043349467
Optometrist in Jackson, MI
About Jackson Vision NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON VISION (NPI 1043349467) is a healthcare organization registered as an optometrist in Jackson, Michigan and active in the NPI registry since March 2007. The organization lists Steven G Johnson, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Vision is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jackson Vision, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jackson Vision LLC's NPI number?
The NPI number for Jackson Vision LLC is 1043349467. It was assigned to this organization in the NPPES registry on March 2, 2007. The provider is doing business as Jackson Vision.
Where is Jackson Vision LLC located?
Jackson Vision LLC is located at 817 W Ganson St, Jackson, MI 49202. The listed phone number is (517) 782-4300.
What is Jackson Vision LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jackson Vision LLC enrolled in Medicare?
Yes. Jackson Vision LLC is registered in the Medicare PECOS enrollment system.
When is Jackson Vision LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jackson Vision LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jackson Vision LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jackson Vision LLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jackson Vision LLC 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 Jackson Vision LLC was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jackson Vision · NPI 1043349467
Optometrist organization in Jackson, Michigan. Organization record, active in the CMS NPPES registry since March 2, 2007.
## Identity
- **NPI:** 1043349467 (Entity type: Organization)
- **Enumerated:** March 2, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Jackson Vision Llc
- **Organization subpart:** No
- **Authorized official:** Steven Johnson, OPTOMETRIST
## Practice location
- **Address:** 817 W GANSON ST, Jackson, MI 49202-4255
- **Phone:** (517) 782-4300 · **Fax:** (517) 782-4708
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2014
- **Other identifiers:** Medicare PIN ON87080 (MI); Medicare UPIN U36448 (MI); Other 22-20042 (MI); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1043349467) · Data from the CMS NPPES public registry.