REBECCA A JACQUEMIN OD
NPI 1366508822
Optometrist in Holland, MI

Q: What is Rebecca Jacquemin's NPI number?

The NPI number for Rebecca Jacquemin is 1366508822. It was assigned to this individual provider in the NPPES registry on December 29, 2006. The provider is also known as Rebecca A Dignum Od.

Q: What is Rebecca Jacquemin'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 Rebecca Jacquemin was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 December 29, 2006PECOS EnrolledAccepts Medicare Assignment

11971 JAMES ST, HOLLAND, MI 49424(616) 395-0606(616) 395-0070 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Rebecca A Jacquemin Od NPPES

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

REBECCA A JACQUEMIN OD (NPI 1366508822) is an individual optometrist in Holland, Michigan, licensed in Michigan (4901004404) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2006).

NPPES Registry Identity

NPI1366508822

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameREBECCA A JACQUEMINCredential: OD

Location Address11971 JAMES STHolland, MI 49424-9610

Mailing Address11971 James StHolland, MI 49424-9610 · (616) 395-0606 · Fax (616) 395-0070

Phone(616) 395-0606

Fax(616) 395-0070

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 2006

Enumeration DateDecember 29, 2006

Last NPPES UpdateAugust 16, 2010

✔ NPI 1366508822 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 MI · 4901004404

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.

11971 JAMES ST, Holland, MI 49424

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Other Names 1

Former Name (1)Rebecca A Dignum Od

Other Identifiers 5

Medicare PIN0P32620MI

Medicaid5175716MI

Other204829649MI · Tax Id

Medicare PINP32620005MI

Medicare UPINV11457MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, 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

Rebecca A Jacquemin 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 ID2668575879

PECOS Enrollment IDI20070308000338

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 2

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.

79 services79 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.

37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 5

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

MRS. ERIN ELIZABETH LAMB PT, MSPT

Physical Therapist