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DR. JAMES L DUCKLO O.D.
NPI 1194764365
Optometrist in Antioch, TN

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
5252 HICKORY HOLLOW PKWY, SUITE 1133, ANTIOCH, TN 37013(615) 731-6230(615) 731-6538 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James L Ducklo O.d. NPPES

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

DR. JAMES L DUCKLO O.D. (NPI 1194764365) is an individual optometrist in Antioch, Tennessee, licensed in Tennessee (ODT 1233) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1989).

NPPES Registry Identity

NPI1194764365
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES L DUCKLOCredential: O.D.
Location Address5252 HICKORY HOLLOW PKWY, SUITE 1133Antioch, TN 37013-3005
Mailing Address5252 Hickory Hollow Pkwy, Suite 1133Antioch, TN 37013-3005 · (615) 731-6230 · Fax (615) 731-6538
Phone(615) 731-6230
Fax(615) 731-6538
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1989
Enumeration DateJune 5, 2006
Last NPPES UpdateSeptember 22, 2009
✔ NPI 1194764365 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 · ODT 1233
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.
5252 HICKORY HOLLOW PKWY, Antioch, TN 37013
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Other Identifiers 8

Other621429478TN · United Healthcare
Medicare PIN3597450TN
Other621429478TN · Principal
Other621429478TN · Superior
Medicaid3597450TN
Other0118062TN · Blue Cross Blue Shield
Other621429478TN · Private Health Care Syste
Medicare UPINT92442TN

Accepted Insurance

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

Dr. James L Ducklo O.d. 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 ID1456362250
PECOS Enrollment IDI20060508000857
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

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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37013 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 3

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

EYEMASTERS INC
Eyewear Supplier
5252 HICKORY HOLLOW PKWY
ANTIOCH, TN 37013
Davidson County (615) 731-8746
JAMES L DUCKLO OD
Optometrist
5252 HICKORY HOLLOW PKWY, SUITE 1133
ANTIOCH, TN 37013
Davidson County (615) 731-6230
DR. ANTARPREET SINGH DMD
Dentist
5252 HICKORY HOLLOW PKWY, SUITE 1131
ANTIOCH, TN 37013
Davidson County (615) 717-0507

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 James Ducklo's NPI number?

The NPI number for James Ducklo is 1194764365. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is James Ducklo located?

James Ducklo practices at 5252 Hickory Hollow Pkwy Suite 1133, Antioch, TN 37013. The listed phone number is (615) 731-6230.

What is James Ducklo's specialty?

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

Is James Ducklo enrolled in Medicare?

Yes. James Ducklo 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 James Ducklo accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list James Ducklo 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 James Ducklo was last updated on September 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.