MAURICE JACKSON OD
NPI 1184390296
Optometrist in Fresno, CA

Q: What is Maurice Jackson's NPI number?

The NPI number for Maurice Jackson is 1184390296. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Q: What is Maurice Jackson'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 Maurice Jackson was last updated on April 18, 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 August 18, 2021PECOS Enrolled

4983 N BLACKSTONE AVE, FRESNO, CA 93726(559) 229-7955 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2022, Aug 18, 2021 (2 updates tracked since 2021).

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About Maurice Jackson Od NPPES

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

MAURICE JACKSON OD (NPI 1184390296) is an individual optometrist in Fresno, California, licensed in California (34911) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184390296

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMAURICE JACKSONCredential: OD

Location Address4983 N BLACKSTONE AVEFresno, CA 93726-0109

Mailing Address1360 E Herndon Ave, Ste 301Fresno, CA 93720-3326 · (209) 345-7923

Phone(559) 229-7955

Sole ProprietorNo

Enumeration DateAugust 18, 2021

Last NPPES UpdateApril 18, 20222 updates tracked since enumeration

NPPES CertifiedApril 18, 2022

✔ NPI 1184390296 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 CA · 34911

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.

4983 N BLACKSTONE AVE, Fresno, CA 93726

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maurice Jackson Od 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 Maurice Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eye Medical Clinic Of Fresno, Inc

2.5 mi

Ophthalmology

1360 E HERNDON AVE, SUITE 301
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
28 clinicians in this Medicare group

NPI 1306853452 (559) 486-5000

Permanente Medical Group Inc

118 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

Areas of Expertise CMS Part B claims 4

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 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.

39 services39 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.

16 services15 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.

15 services15 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93726 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 3

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

LUXOTTICA OF AMERICA INC.

Eyewear Supplier

4983 N BLACKSTONE AVE
FRESNO, CA 93726

Fresno County (559) 229-7955

DR. SOMAEH SEMATI O.D.

Optometrist

4983 N BLACKSTONE AVE
FRESNO, CA 93726

Fresno County (559) 229-7955

AVANI PATEL OPTOMETRIC CORPORATION

Optometrist

4983 N BLACKSTONE AVE
FRESNO, CA 93726

Fresno County (510) 731-7873

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 Maurice Jackson's NPI number?

The NPI number for Maurice Jackson is 1184390296. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Maurice Jackson located?

Maurice Jackson practices at 4983 N Blackstone Ave, Fresno, CA 93726. The listed phone number is (559) 229-7955.

What is Maurice Jackson's specialty?

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

Is Maurice Jackson enrolled in Medicare?

Yes. Maurice Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maurice Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maurice Jackson reassigns Medicare benefits to 2 organizations: Eye Medical Clinic Of Fresno, Inc (Fresno, CA) and Permanente Medical Group Inc (Stockton, CA). Each 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 Maurice Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maurice Jackson was last updated on April 18, 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.