DR. JACQUELINE E POKUSA O.D.
NPI 1104178094
Optometrist in Alexandria, VA

Q: What is Jacqueline Pokusa's NPI number?

The NPI number for Jacqueline Pokusa is 1104178094. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Q: What is Jacqueline Pokusa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Pokusa was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 03, 2012PECOS Enrolled

6677 RICHMOND HWY, ALEXANDRIA, VA 22306(703) 535-5568 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jacqueline E Pokusa O.d. NPPES

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

DR. JACQUELINE E POKUSA O.D. (NPI 1104178094) is an individual optometrist in Alexandria, Virginia, licensed in Pennsylvania (OEG003023) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104178094

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. JACQUELINE E POKUSACredential: O.D.

Location Address6677 RICHMOND HWYAlexandria, VA 22306-6647

Mailing Address6677 Richmond HwyAlexandria, VA 22306-6647 · (703) 535-5568

Phone(703) 535-5568

Sole ProprietorNo

Enumeration DateOctober 3, 2012

Last NPPES UpdateAugust 26, 2022

NPPES CertifiedAugust 26, 2022

✔ NPI 1104178094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in PA · OEG003023

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.

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 4941 (MA), TA2382 (MD), 0618002276 (VA), OP1000276 (DC)

6677 RICHMOND HWY, Alexandria, VA 22306

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Other Identifiers 5

OtherOEG003023PA · Pa License Number

OtherTA2382MD · Board Of Examiners In Optometry, License Number

Other4941MA · Massachusetts Board Of Optometry, License Number

OtherOP1000276DC · Board Of Optometry, License Number

Other0618002276VA · Board Of Optometry, License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline E Pokusa O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Jacqueline Pokusa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Health

Same address

Federally Qualified Health Center (FQHC)

6677 RICHMOND HWY
Alexandria, VA 22306

Reassigned Medicare billing, District of Columbia enrollment
58 clinicians in this Medicare group

NPI 1093138588 (703) 535-5568

Steer Optical LLC

7.5 mi

Medical Specialty

4238 WILSON BLVD, SUITE 3140
Arlington, VA 22203

Reassigned Medicare billing, District of Columbia enrollment
5 clinicians in this Medicare group

NPI 1023353638 (703) 524-2800

Children's Hospital

11 mi

Pediatrics

111 MICHIGAN AVE NW
Washington, DC 20010

Reassigned Medicare billing, District of Columbia enrollment
1,417 clinicians in this Medicare group

NPI 1780800128 (202) 476-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22306 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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 20

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

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