Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. JON BANTUGAN OD
NPI 1346169299
Optometrist in Vicksburg, MS

Q: What is Jon Bantugan's NPI number?

The NPI number for Jon Bantugan is 1346169299. It was assigned to this individual provider in the NPPES registry on July 14, 2026.

Q: What is Jon Bantugan'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 Jon Bantugan was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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 July 14, 2026PECOS Enrolled

2011 HIGHWAY 61 N, VICKSBURG, MS 39183(601) 630-9199(601) 630-0426 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Jon Bantugan Od NPPES

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

DR. JON BANTUGAN OD (NPI 1346169299) is an individual optometrist in Vicksburg, Mississippi, licensed in Mississippi (1129) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346169299

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JON BANTUGANCredential: OD

Location Address2011 HIGHWAY 61 NVicksburg, MS 39183-8227

Mailing Address2011 Highway 61 NVicksburg, MS 39183-8227 · (601) 630-9199 · Fax (601) 630-0426

Phone(601) 630-9199

Fax(601) 630-0426

Sole ProprietorNo

Enumeration DateJuly 14, 2026

NPPES CertifiedJuly 14, 2026

✔ NPI 1346169299 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 MS · 1129

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.

2011 HIGHWAY 61 N, Vicksburg, MS 39183

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jon Bantugan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39183 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

MANIVANH A PRUDHOMME MSN, FNP-BC, AGACNP-

Nurse Practitioner (Family)

2011 HIGHWAY 61 N
VICKSBURG, MS 39183

Warren County (014) 562-2776

DR. HILARY MELBY PARRISH O.D.

Optometrist

2011 HIGHWAY 61 N
VICKSBURG, MS 39183

Warren County (601) 630-9199

RIVERBEND EYECARE, P.A.

Optometrist

2011 HIGHWAY 61 N
VICKSBURG, MS 39183

Warren County (601) 630-9199

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 Jon Bantugan's NPI number?

The NPI number for Jon Bantugan is 1346169299. It was assigned to this individual provider in the NPPES registry on July 14, 2026.

Where is Jon Bantugan located?

Jon Bantugan practices at 2011 Highway 61 N, Vicksburg, MS 39183. The listed phone number is (601) 630-9199.

What is Jon Bantugan's specialty?

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

Is Jon Bantugan enrolled in Medicare?

Yes. Jon Bantugan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jon Bantugan was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.