DEVIN JACKSON
NPI 1720574544
Optometrist in Colorado Springs, CO
About Devin Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVIN JACKSON (NPI 1720574544) is an individual optometrist in Colorado Springs, Colorado, licensed in Colorado (0003396) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Canon City, and is a graduate of Southern College Of Optometry (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Devin Jackson 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.
Medicare Billing Reassignments
4Medicare enrollment records show Devin Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colorado Springs, CO 80917
- Reassigned Medicare billing, Colorado enrollment
- 6 clinicians in this Medicare group
Colorado Springs, CO 80921
- Reassigned Medicare billing, Colorado enrollment
- 3 clinicians in this Medicare group
Fort Carson, CO 80913
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Canon City, CO 81212
- Reassigned Medicare billing, Colorado enrollment
- 2 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Devin Jackson's NPI number?
The NPI number for Devin Jackson is 1720574544. It was assigned to this individual provider in the NPPES registry on July 4, 2018.
Where is Devin Jackson located?
Devin Jackson practices at 3958 N Academy Blvd Ste 108, Colorado Springs, CO 80917. The listed phone number is (719) 999-8404.
What is Devin Jackson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Devin Jackson enrolled in Medicare?
Yes. Devin 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 Devin Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Devin Jackson reassigns Medicare benefits to 4 organizations: Optom-Eyes,llc (Colorado Springs, CO), Evergreen Optometry, PLLC (Colorado Springs, CO), Peak View Optometry Fort Carson, LLC (Fort Carson, CO) and Blair Vision Care, LLC (Canon City, CO). 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 Devin Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Devin Jackson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Devin 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 Devin Jackson was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Devin Jackson · NPI 1720574544
Optometrist provider in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since July 4, 2018.
## Identity
- **NPI:** 1720574544 (Entity type: Individual)
- **Enumerated:** July 4, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 0003396 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 3958 N ACADEMY BLVD STE 108, Colorado Springs, CO 80917-5911
- **Phone:** (719) 999-8404 · **Fax:** (719) 999-8402
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Optom-Eyes,llc (NPI 1619624632, Colorado Springs, CO); Evergreen Optometry, PLLC (NPI 1801561634, Colorado Springs, CO); Peak View Optometry Fort Carson, LLC (NPI 1194327148, Fort Carson, CO); Blair Vision Care, LLC (NPI 1134436728, Canon City, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2018
## Record status
- **NPPES last updated:** October 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1720574544) · Data from the CMS NPPES public registry.