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JACLYN GOODVIN OD
NPI 1467078915
Optometrist in Milan, MI

Active since June 21, 2020PECOS EnrolledAccepts Medicare Assignment
7 E MAIN ST, MILAN, MI 48160(734) 439-2020(734) 439-2047 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2023, Dec 2, 2021, Apr 15, 2021 and 1 more (4 updates tracked since 2020).

About Jaclyn Goodvin Od NPPES

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

JACLYN GOODVIN OD (NPI 1467078915) is an individual optometrist in Milan, Michigan, licensed in Michigan (4901005451) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2020).

NPPES Registry Identity

NPI1467078915
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACLYN GOODVINCredential: OD
Location Address7 E MAIN STMilan, MI 48160-1248
Mailing Address7 E Main StMilan, MI 48160-1248 · (734) 439-2020 · Fax (734) 439-2047
Phone(734) 439-2020
Fax(734) 439-2047
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2020
Enumeration DateJune 21, 2020
Last NPPES UpdateJanuary 3, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1467078915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MI · 4901005451✔ Licensed in OH · 006907
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.
7 E MAIN ST, Milan, MI 48160
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Other Names 1

Former Name (1)Jaclyn Tolles Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Jaclyn Goodvin 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 ID4789000613
PECOS Enrollment IDI20200821001828
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

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 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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48160 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

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

FOUNTAIN OPTOMETRY, P.C.
Optometrist
7 E MAIN ST
MILAN, MI 48160
Washtenaw County (734) 439-2020

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 Jaclyn Goodvin's NPI number?

The NPI number for Jaclyn Goodvin is 1467078915. It was assigned to this individual provider in the NPPES registry on June 21, 2020. The provider is also known as Jaclyn Tolles Od.

Where is Jaclyn Goodvin located?

Jaclyn Goodvin practices at 7 E Main St, Milan, MI 48160. The listed phone number is (734) 439-2020.

What is Jaclyn Goodvin's specialty?

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

Is Jaclyn Goodvin enrolled in Medicare?

Yes. Jaclyn Goodvin 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.

What insurance does Jaclyn Goodvin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross Blue Shield of Wyoming and 8 other insurers list Jaclyn Goodvin 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 Jaclyn Goodvin was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.