1. Home
  2. Directory
  3. Wyoming
  4. Cody
  5. Optometrist
  6. NPI Profile

JACOB HANNON
NPI 1124388525
Optometrist in Cody, WY

Active since May 21, 2012PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Hannon NPPES

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

JACOB HANNON (NPI 1124388525) is an individual optometrist in Cody, Wyoming, licensed in Virginia (0618002148) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2012).

NPPES Registry Identity

NPI1124388525
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJACOB HANNON
Location Address2814 KENT AVECody, WY 82414-8250
Mailing Address1624 Nc Highway 14, Apt A-2Reidsville, NC 27320-9666 · (307) 272-6875
Phone(307) 272-2716
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2012
Enumeration DateMay 21, 2012
Last NPPES UpdateMarch 30, 2016
✔ NPI 1124388525 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 VA · 0618002148
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2814 KENT AVE, Cody, WY 82414
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Jacob Hannon 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 ID8022317478
PECOS Enrollment IDI20250410000282
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82414 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

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 Jacob Hannon's NPI number?

The NPI number for Jacob Hannon is 1124388525. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Where is Jacob Hannon located?

Jacob Hannon practices at 2814 Kent Ave, Cody, WY 82414. The listed phone number is (307) 272-2716.

What is Jacob Hannon's specialty?

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

Is Jacob Hannon enrolled in Medicare?

Yes. Jacob Hannon 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 Jacob Hannon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 2 other insurers list Jacob Hannon 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 Jacob Hannon was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.