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JACOB ERICKSON O.D.
NPI 1700370749
Optometrist in Saint Paul, MN

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
1089 GRAND AVE, SAINT PAUL, MN 55105(651) 797-4834 Get Directions Write a Review

NPPES record last updated: March 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2021, Jun 21, 2018 (2 updates tracked since 2018).

About Jacob Erickson O.d. NPPES

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

JACOB ERICKSON O.D. (NPI 1700370749) is an individual optometrist in Saint Paul, Minnesota, licensed in Minnesota (3571) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2018).

NPPES Registry Identity

NPI1700370749
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJACOB ERICKSONCredential: O.D.
Location Address1089 GRAND AVESaint Paul, MN 55105-3002
Mailing Address1089 Grand AveSaint Paul, MN 55105-3002 · (651) 797-4834
Phone(651) 797-4834
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2018
Enumeration DateJune 21, 2018
Last NPPES UpdateMarch 20, 20212 updates tracked since enumeration
NPPES CertifiedMarch 20, 2021
✔ NPI 1700370749 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 MN · 3571
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.
1089 GRAND AVE, Saint Paul, MN 55105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Jacob Erickson 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 ID5890043822
PECOS Enrollment IDI20180807002079
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

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 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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55105 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 2

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

SPECTACLE SHOPPE INC.
Optometrist
1089 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (651) 797-4834
THE SPECTACLE SHOPPE INC
Optometrist
1089 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (651) 797-4834

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 Jacob Erickson's NPI number?

The NPI number for Jacob Erickson is 1700370749. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Jacob Erickson located?

Jacob Erickson practices at 1089 Grand Ave, Saint Paul, MN 55105. The listed phone number is (651) 797-4834.

What is Jacob Erickson's specialty?

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

Is Jacob Erickson enrolled in Medicare?

Yes. Jacob Erickson 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.

What insurance does Jacob Erickson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Jacob Erickson 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 Jacob Erickson was last updated on March 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.