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DR. JACKSON ROMAINE BENNETT JR. O.D.
NPI 1316098791
Optometrist in Peoria, IL

Active since January 14, 2007
4530 N BRANDYWINE DR, EYEGLASS WORLD 12, PEORIA, IL 61614(309) 682-5833(309) 682-5929 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jackson Romaine Bennett Jr. O.d. NPPES

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

DR. JACKSON ROMAINE BENNETT JR. O.D. (NPI 1316098791) is an individual optometrist in Peoria, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1316098791
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACKSON ROMAINE BENNETT JR.Credential: O.D.
Location Address4530 N BRANDYWINE DR, EYEGLASS WORLD 12Peoria, IL 61614-5570
Mailing Address4530 N Brandywine Dr, Eyeglass World 12Peoria, IL 61614-5570 · (309) 682-5833 · Fax (309) 682-5929
Phone(309) 682-5833
Fax(309) 682-5929
Sole ProprietorYes
Enumeration DateJanuary 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316098791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
4530 N BRANDYWINE DR, Peoria, IL 61614
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Other Identifiers 3

Other0040030672IL · Bcbs Provider #
Other0040030668IL · Bcbs Provider #
Other0040030676IL · Bcbs Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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 Jackson Bennett's NPI number?

The NPI number for Jackson Bennett is 1316098791. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Where is Jackson Bennett located?

Jackson Bennett practices at 4530 N Brandywine Dr Eyeglass World 12, Peoria, IL 61614. The listed phone number is (309) 682-5833.

What is Jackson Bennett's specialty?

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

What insurance does Jackson Bennett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Jackson Bennett 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 Jackson Bennett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.