CLAUDINE JACQUELINE JACKSON O.D.
NPI 1659388114
Optometrist in Duluth, MN

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
4920 GRAND AVE, DULUTH, MN 55807(218) 522-4412 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2023, Sep 8, 2021, May 27, 2021 (3 updates tracked since 2021).

About Claudine Jacqueline Jackson O.d. NPPES

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

CLAUDINE JACQUELINE JACKSON O.D. (NPI 1659388114) is an individual optometrist in Duluth, Minnesota, licensed in Pennsylvania (OET008991) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Carlisle, and is a graduate of New England College Of Optometry (1992).

NPPES Registry Identity

NPI1659388114
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCLAUDINE JACQUELINE JACKSONCredential: O.D.
Location Address4920 GRAND AVEDuluth, MN 55807-2604
Mailing Address6 E Eppley DrCarlisle, PA 17013-4378 · (717) 240-0311
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1992
Enumeration DateAugust 1, 2006
Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1659388114 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 PA · OET008991✔ Licensed in FL · TPOP64✔ Licensed in WI · 3861-35✔ Licensed in MN · 3690✔ Licensed in NY · 009081
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.
4920 GRAND AVE, Duluth, MN 55807

Secondary Practice Location 1

Location 16 E Eppley DrCarlisle, PA 17013-4378 · Phone (717) 240-0311

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Claudine Jacqueline Jackson 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 ID9931537776
PECOS Enrollment IDI20221230000737
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Claudine Jackson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1344 W ARROWHEAD RD
Duluth, MN 55811
  • Reassigned Medicare billing, Minnesota enrollment
  • 42 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
9675 E ELM RD
Poplar, WI 54864
  • Reassigned Medicare billing, Wisconsin enrollment
  • 118 clinicians in this Medicare group
Optometrist
1220 PARKWOOD DR
Wisconsin Rapids, WI 54494
  • Reassigned Medicare billing, Wisconsin enrollment
  • 102 clinicians in this Medicare group
Optometrist
1301 18TH AVE NW
Austin, MN 55912
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1154699445 (Wisconsin)
  • 76 clinicians in this Medicare group
Optometrist
59 HADLEY RD STE A
Greenville, PA 16125
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 262 clinicians in this Medicare group
Optician
9015 QUEENS BLVD STE 1029
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
Optometrist
21 S MADISON ST
Quincy, FL 32351
  • Reassigned Medicare billing, Florida enrollment
  • 322 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55807 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Optometrist
4920 GRAND AVE
DULUTH, MN 55807

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 Claudine Jackson's NPI number?

The NPI number for Claudine Jackson is 1659388114. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Claudine Jackson located?

Claudine Jackson practices at 4920 Grand Ave, Duluth, MN 55807. The listed phone number is (218) 522-4412.

What is Claudine Jackson's specialty?

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

Is Claudine Jackson enrolled in Medicare?

Yes. Claudine Jackson 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.

Which organizations bill Medicare for Claudine Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudine Jackson reassigns Medicare benefits to 7 organizations: Vision Pro II Inc (Duluth, MN), The Lakes Community Health Center, Inc (Poplar, WI), Myeyedr Optometry Of Wisconsin, LLC (Wisconsin Rapids, WI), Visionworks, Inc. (Austin, MN), Myeyedr Optometry Of Pennsylvania, LLC (Greenville, PA) and 2 more organizations, listed in the Medicare section above. Each 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 Claudine Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudine Jackson accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 17 other insurers list Claudine Jackson 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 Claudine Jackson was last updated on March 6, 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.