JACKSON EYE CARE
NPI 1396878328
Optometrist in Fort Collins, CO
About Jackson Eye Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON EYE CARE (NPI 1396878328) is a healthcare organization registered as an optometrist in Fort Collins, Colorado and active in the NPI registry since March 2007. The organization lists Mark D Jackson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Jackson Eye Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Eyecare, PC's NPI number?
The NPI number for Jackson Eyecare, PC is 1396878328. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Jackson Eye Care.
Where is Jackson Eyecare, PC located?
Jackson Eyecare, PC is located at 1250 E Magnolia St, Fort Collins, CO 80524. The listed phone number is (970) 224-0606.
What is Jackson Eyecare, PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jackson Eyecare, PC enrolled in Medicare?
Yes. Jackson Eyecare, PC is registered in the Medicare PECOS enrollment system.
When is Jackson Eyecare, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jackson Eyecare, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Optometry, reassign their Medicare billing to Jackson Eyecare, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jackson Eyecare, PC accept?
Health plans from BlueCross BlueShield of Tennessee list Jackson Eyecare, PC 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 Eyecare, PC was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jackson Eye Care · NPI 1396878328
Optometrist organization in Fort Collins, Colorado. Organization record, active in the CMS NPPES registry since March 13, 2007.
## Identity
- **NPI:** 1396878328 (Entity type: Organization)
- **Enumerated:** March 13, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Jackson Eyecare, Pc
- **Organization subpart:** No
- **Authorized official:** Mark Jackson, PRESIDENT
## Practice location
- **Address:** 1250 E MAGNOLIA ST, Fort Collins, CO 80524-2702
- **Phone:** (970) 224-0606 · **Fax:** (970) 493-9309
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2012
- **Other identifiers:** Medicare UPIN U65211 (CO); Medicaid 90701283 (CO); Medicare PIN C486668 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1396878328) · Data from the CMS NPPES public registry.