JACKSONVILLE VISION CENTER, O.D.,PLLC
NPI 1578867057
Optometrist in Jacksonville, NC

Q: What is Jacksonville Vision Center, O.D.,pllc's specialty?

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

Active since December 27, 2010

409 WESTERN BLVD, SUITE 700, JACKSONVILLE, NC 28546(910) 219-3937 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jacksonville Vision Center, O.d.,pllc NPPES

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

JACKSONVILLE VISION CENTER, O.D.,PLLC (NPI 1578867057) is a healthcare organization registered as an optometrist in Jacksonville, North Carolina and active in the NPI registry since December 2010. The organization lists Tracy A Taylor, Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1578867057

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJACKSONVILLE VISION CENTER, O.D.,PLLC

Location Address409 WESTERN BLVD, SUITE 700Jacksonville, NC 28546-6528

Mailing Address409 Western Blvd, Suite 700Jacksonville, NC 28546-6528 · (910) 219-3937

Phone(910) 219-3937

Organization SubpartNo

Authorized OfficialTracy A TaylorInsurance Specialist · (910) 326-0113

Enumeration DateDecember 27, 2010

Last NPPES UpdateFebruary 2, 2011

✔ NPI 1578867057 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 NC · 1970

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.

409 WESTERN BLVD, Jacksonville, NC 28546

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Other Identifiers 2

Medicare UPINV07476NC

Medicaid89093R2NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacksonville Vision Center, O.d.,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacksonville Vision Center, O.D.,pllc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jared Taylor, OD

Optometry

NPI 1265490619

409 WESTERN BLVD SUITE 700
Jacksonville, NC 28546

(910) 219-3937

✔ PECOS✔ Accepts MedicareSame address

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 Jacksonville Vision Center, O.D.,pllc's NPI number?

The NPI number for Jacksonville Vision Center, O.D.,pllc is 1578867057. It was assigned to this organization in the NPPES registry on December 27, 2010.

Where is Jacksonville Vision Center, O.D.,pllc located?

Jacksonville Vision Center, O.D.,pllc is located at 409 Western Blvd Suite 700, Jacksonville, NC 28546. The listed phone number is (910) 219-3937.

What is Jacksonville Vision Center, O.D.,pllc's specialty?

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

Is Jacksonville Vision Center, O.D.,pllc enrolled in Medicare?

Yes. Jacksonville Vision Center, O.D.,pllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacksonville Vision Center, O.D.,pllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jacksonville Vision Center, O.D.,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 Jacksonville Vision Center, O.D.,pllc accept?

Health plans from Blue Cross and Blue Shield of NC list Jacksonville Vision Center, O.D.,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 Jacksonville Vision Center, O.D.,pllc was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.