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ALYSSA JACKSON OD
NPI 1174053433
Optometrist in Clarksville, TN

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
3929 LAMAR DR, CLARKSVILLE, TN 37040(931) 245-3979(931) 647-0354 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2020, Jul 19, 2018, Jun 19, 2017 (3 updates tracked since 2017).

About Alyssa Jackson Od NPPES

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

ALYSSA JACKSON OD (NPI 1174053433) is an individual optometrist in Clarksville, Tennessee, licensed in Tennessee (3377) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2017).

NPPES Registry Identity

NPI1174053433
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameALYSSA JACKSONCredential: OD
Location Address3929 LAMAR DRClarksville, TN 37040-3704
Mailing Address3929 Lamar Dr Ste. BClarksville, TN 37040-1425 · (931) 245-3937 · Fax (931) 647-0354
Phone(931) 245-3979
Fax(931) 647-0354
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateFebruary 13, 20203 updates tracked since enumeration
✔ NPI 1174053433 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 TN · 3377
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.
3929 LAMAR DR, Clarksville, TN 37040
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Other Identifiers 1

Other3377TN · License Number

Accepted Insurance

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

Alyssa Jackson Od 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 ID9032480728
PECOS Enrollment IDI20171201000983
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 8

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
107 services76 patients
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.
63 services62 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.
38 services22 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
25 services21 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.
21 services21 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.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

KAYLA COOK MS, NCC
Counselor
3929 LAMAR DR
CLARKSVILLE, TN 37040
Montgomery County (931) 494-6803
MADELINE BROOKS
Counselor (Mental Health)
3929 LAMAR DR
CLARKSVILLE, TN 37040
Montgomery County (931) 494-6803

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 Alyssa Jackson's NPI number?

The NPI number for Alyssa Jackson is 1174053433. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Alyssa Jackson located?

Alyssa Jackson practices at 3929 Lamar Dr, Clarksville, TN 37040. The listed phone number is (931) 245-3979.

What is Alyssa Jackson's specialty?

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

Is Alyssa Jackson enrolled in Medicare?

Yes. Alyssa Jackson 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 Alyssa Jackson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan and 1 other insurer list Alyssa Jackson 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 Alyssa Jackson was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.