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JACKIE NGO OD
NPI 1427610385
Optometrist in Johnson City, TN

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
2011 N ROAN ST, JOHNSON CITY, TN 37601(423) 610-7155 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jackie Ngo Od NPPES

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

JACKIE NGO OD (NPI 1427610385) is an individual optometrist in Johnson City, Tennessee, licensed in Tennessee (3535) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2019).

NPPES Registry Identity

NPI1427610385
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACKIE NGOCredential: OD
Location Address2011 N ROAN STJohnson City, TN 37601-3130
Mailing Address1201 Fredericksburg DrJohnson City, TN 37604-6377
Phone(423) 610-7155
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2019
Enumeration DateJuly 1, 2019
✔ NPI 1427610385 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 · 3535
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 N ROAN ST, Johnson City, TN 37601
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackie Ngo 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 ID6406188697
PECOS Enrollment IDI20191021001467
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.

Medicare Billing Reassignment

Medicare enrollment records show Jackie Ngo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Torrey J. Carlson & Associates
19 mi
Optometrist
2600 E STONE DR STE 10
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 30 clinicians in this Medicare group
NPI 1366480964 (865) 217-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
75 services73 patients
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.
38 services37 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
25 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 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 5

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

LUXOTTICA OF AMERICA INC.
Eyewear Supplier
2011 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 282-2882
JESSICA WEI-YEE CHAN OD
Optometrist
2011 N ROAN ST
JOHNSON CITY, TN 37601
Washington County No phone listed
MAKAYLA GABRIELLE HARR
Optometrist
2011 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (865) 217-1010
CAITLIN JAN FOLLANSBEE OD
Optometrist
2011 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 610-7155
JOSHUA DAVID TAYLOR OD
Optometrist
2011 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 610-7155

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 Jackie Ngo's NPI number?

The NPI number for Jackie Ngo is 1427610385. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Jackie Ngo located?

Jackie Ngo practices at 2011 N Roan St, Johnson City, TN 37601. The listed phone number is (423) 610-7155.

What is Jackie Ngo's specialty?

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

Is Jackie Ngo enrolled in Medicare?

Yes. Jackie Ngo 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.

Which organization bills Medicare for Jackie Ngo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Ngo reassigns Medicare benefits to Dr. Torrey J. Carlson & Associates (Kingsport, TN). The 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 Jackie Ngo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Ngo accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 Jackie Ngo 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 Jackie Ngo was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.