MAURICE JACKSON OD
NPI 1184390296
Optometrist in Fresno, CA

Active since August 18, 2021PECOS EnrolledAccepts Medicare Assignment
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: July 19, 2026.

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

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 and is a graduate of Other (2021).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
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

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

Maurice 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 ID5395132229
PECOS Enrollment IDI20220425000838
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 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 4

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

Optometrist
4983 N BLACKSTONE AVE
FRESNO, CA 93726
Eyewear Supplier
4983 N BLACKSTONE AVE
FRESNO, CA 93726
Optometrist
4983 N BLACKSTONE AVE
FRESNO, CA 93726
Optometrist
4983 N BLACKSTONE AVE
FRESNO, CA 93726

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Maurice Jackson was last updated on April 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.