BELLA VISTA FAMILY EYE CARE
NPI 1477730919
Optometrist in Rockford, MI
About Bella Vista Family Eye Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BELLA VISTA FAMILY EYE CARE (NPI 1477730919) is a healthcare organization registered as an optometrist in Rockford, Michigan and active in the NPI registry since January 2008. The organization lists Chad J. Jackson, Sole Member/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Bella Vista Family Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bella Vista Family Eye Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Chad J. Jackson, Od, PLLC's NPI number?
The NPI number for Chad J. Jackson, Od, PLLC is 1477730919. It was assigned to this organization in the NPPES registry on January 28, 2008. The provider is also known as Bella Vista Family Eye Care.
Where is Chad J. Jackson, Od, PLLC located?
Chad J. Jackson, Od, PLLC is located at 6575 Belding Rd NE Suite D, Rockford, MI 49341. The listed phone number is (616) 874-2020.
What is Chad J. Jackson, Od, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Chad J. Jackson, Od, PLLC enrolled in Medicare?
Yes. Chad J. Jackson, Od, PLLC is registered in the Medicare PECOS enrollment system.
When is Chad J. Jackson, Od, PLLC'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 (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Chad J. Jackson, Od, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Chad J. Jackson, Od, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Chad J. Jackson, Od, PLLC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Chad J. Jackson, Od, PLLC 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 Chad J. Jackson, Od, PLLC was last updated on November 26, 2018. 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.
# Bella Vista Family Eye Care · NPI 1477730919
Optometrist organization in Rockford, Michigan. Organization record, active in the CMS NPPES registry since January 28, 2008.
## Identity
- **NPI:** 1477730919 (Entity type: Organization)
- **Enumerated:** January 28, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Chad J. Jackson, Od, Pllc
- **Organization subpart:** No
- **Authorized official:** Chad Jackson, SOLE MEMBER/OWNER
## Practice location
- **Address:** 6575 BELDING RD NE, SUITE D, Rockford, MI 49341-7418
- **Phone:** (616) 874-2020 · **Fax:** (616) 874-2773
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2018
- **Other identifiers:** Medicaid 4925900 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1477730919) · Data from the CMS NPPES public registry.