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KEVIN MICHAEL JACKSON O.D.
NPI 1588654115
Optometrist in Bethesda, MD

Active since October 25, 2005PECOS Enrolled
4494 PALMER RD N, BETHESDA, MD 20814(301) 295-3016 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kevin Michael Jackson O.d. NPPES

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

KEVIN MICHAEL JACKSON O.D. (NPI 1588654115) is an individual optometrist in Bethesda, Maryland, licensed in New York (T006010) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Annapolis.

NPPES Registry Identity

NPI1588654115
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKEVIN MICHAEL JACKSONCredential: O.D.
Location Address4494 PALMER RD NBethesda, MD 20814
Mailing Address4301 Jones Bridge RdBethesda, MD 20814-4712 · (301) 295-3016
Phone(301) 295-3016
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1588654115 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 NY · T006010
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.
4494 PALMER RD N, Bethesda, MD 20814
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Secondary Practice Location 1

Location 1695 Kinkaid RdAnnapolis, MD 21402-1006 · Phone (410) 293-1790

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Michael Jackson O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 20

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

LYNN ANNE NASH PHD, RN, PHCNS-BC
Registered Nurse (Community Health)
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (301) 295-4512
JENNIFER MARIE SABINO M.D.
Surgery (Plastic and Reconstructive Surgery)
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (301) 295-4000
JANINE FARAJ MD
General Practice
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (480) 452-2460
DR. TORI SMITH MD
General Practice
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (301) 295-4000
JENNY HELD MD
Surgery (Surgical Oncology)
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (215) 208-2828
DR. SHAWN JAMISON MILLER M.D.
Internal Medicine (Allergy & Immunology)
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (301) 295-9046
DR. RYAN KELLY MACVICAR MD
Military Health Care Provider
4494 PALMER RD N, BLDG 19
BETHESDA, MD 20814
Montgomery County (301) 295-1795
GENESIS JAMES
Military Health Care Provider
4494 PALMER RD N
APO, AA 20814
Montgomery County (301) 295-4000

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 Kevin Jackson's NPI number?

The NPI number for Kevin Jackson is 1588654115. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Kevin Jackson located?

Kevin Jackson practices at 4494 Palmer Rd N, Bethesda, MD 20814. The listed phone number is (301) 295-3016.

What is Kevin Jackson's specialty?

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

Is Kevin Jackson enrolled in Medicare?

Yes. Kevin Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Jackson was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.