DR. JASON KENNETH DICKERSON O.D.
NPI 1487646832
Optometrist in Pelham, AL

Q: What is Jason Dickerson's NPI number?

The NPI number for Jason Dickerson is 1487646832. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Q: What is Jason Dickerson'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 Jason Dickerson was last updated on June 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment

2617 HIGHWAY 31 S, PELHAM, AL 35124(205) 664-1575(205) 664-1578 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jason Kenneth Dickerson O.d. NPPES

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

DR. JASON KENNETH DICKERSON O.D. (NPI 1487646832) is an individual optometrist in Pelham, Alabama, licensed in Alabama (S-982-TA-567) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2001).

NPPES Registry Identity

NPI1487646832

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JASON KENNETH DICKERSONCredential: O.D.

Location Address2617 HIGHWAY 31 SPelham, AL 35124-1322

Mailing Address2617 Highway 31 SPelham, AL 35124-1322 · (205) 664-1575 · Fax (205) 664-1578

Phone(205) 664-1575

Fax(205) 664-1578

Sole ProprietorNo

Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2001

Enumeration DateAugust 19, 2005

Last NPPES UpdateJune 10, 2008

✔ NPI 1487646832 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 AL · S-982-TA-567

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.

2617 HIGHWAY 31 S, Pelham, AL 35124

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Other Identifiers 9

OtherU86291AL · Viva

Other51505633AL · Blue Cross Blue Shield

Medicare ID-Type Unspecified051505633DICAL

Medicare NSC4795640001

Medicare PIN051505633AL

OtherU86291AL · Healthspring

Medicare UPINU86291AL

Medicaid009933935AL

OtherU86291AL · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Dr. Jason Kenneth Dickerson O.d. 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 ID2466641543

PECOS Enrollment IDI20110105000166

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services22 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.

21 services21 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.

18 services18 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35124 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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.

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Other Providers at the Same Location NPPES 8

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

ALENA V SAMAL OD

Optometrist