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DEVIN JACKSON
NPI 1720574544
Optometrist in Colorado Springs, CO

Active since July 04, 2018PECOS EnrolledAccepts Medicare Assignment
3958 N ACADEMY BLVD STE 108, COLORADO SPRINGS, CO 80917(719) 999-8404(719) 999-8402 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2019, Jul 4, 2018 (2 updates tracked since 2018).

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 and is a graduate of Southern College Of Optometry (2018).

NPPES Registry Identity

NPI1720574544
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDEVIN JACKSON
Location Address3958 N ACADEMY BLVD STE 108Colorado Springs, CO 80917-5911
Mailing Address3425 Austin Bluffs Pkwy Ste 108Colorado Springs, CO 80918-5723
Phone(719) 999-8404
Fax(719) 999-8402
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2018
Enumeration DateJuly 4, 2018
Last NPPES UpdateOctober 17, 20192 updates tracked since enumeration
✔ NPI 1720574544 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 CO · 0003396
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.
3958 N ACADEMY BLVD STE 108, Colorado Springs, CO 80917
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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 Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

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.

PECOS PAC ID8224388020
PECOS Enrollment IDI20180828003833
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.
11 services11 patients

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.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

BLAIR VISION CARE, LLC
Optometrist
3958 N ACADEMY BLVD STE 108
COLORADO SPRINGS, CO 80917
El Paso County (719) 999-8404

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.

What insurance does Devin Jackson accept?

Health plans from 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 6 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.