JACOB DUFOUR O.D.
NPI 1730556580
Optometrist - Vision Therapy in Centerton, AR

Active since August 27, 2015PECOS EnrolledAccepts Medicare Assignment
101 DAWN DR, CENTERTON, AR 72719(479) 795-1411(479) 795-1412 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Dufour O.d. NPPES

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

JACOB DUFOUR O.D. (NPI 1730556580) is an individual vision therapy provider in Centerton, Arkansas, licensed in Arkansas (AR2754) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rogers, and is a graduate of Southern College Of Optometry (2015).

NPPES Registry Identity

NPI1730556580
Entity TypeIndividualMale
Primary Taxonomy152WV0400X
Provider Legal NameJACOB DUFOURCredential: O.D.
Location Address101 DAWN DRCenterton, AR 72719-9314
Mailing Address900 S 52nd St Ste 102Rogers, AR 72758-8640 · (479) 657-6006 · Fax (479) 340-0285
Fax(479) 795-1412
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2015
Enumeration DateAugust 27, 2015
Last NPPES UpdateMay 13, 2021
NPPES CertifiedMay 13, 2021
NPI 1730556580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
Licenses Licensed in AR · AR2754 Licensed in WA · OD 60559129
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Also ListedOptometristTaxonomy 152W00000X · License 2754 (AR)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 2754 (AR)
101 DAWN DR, Centerton, AR 72719

Secondary Practice Location 1

Location 1900 S 52nd St Ste 102Rogers, AR 72758-8640 · Phone (479) 657-6006 · Fax (479) 340-0285

Accepted 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 Dufour 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 ID8224326640
PECOS Enrollment IDI20161018000095
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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72719 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 5

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

Optometrist (Vision Therapy)
101 DAWN DR
CENTERTON, AR 72719
Optometrist
101 DAWN DR
CENTERTON, AR 72719
Optometrist
101 DAWN DR
CENTERTON, AR 72719
Optometrist (Vision Therapy)
101 DAWN DR
CENTERTON, AR 72719
Optometrist
101 DAWN DR
CENTERTON, AR 72719

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 Dufour's NPI number?

The NPI number for Jacob Dufour is 1730556580. It was assigned to this individual provider in the NPPES registry on August 27, 2015.

Where is Jacob Dufour located?

Jacob Dufour practices at 101 Dawn Dr, Centerton, AR 72719. The listed phone number is (479) 795-1411.

What is Jacob Dufour's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Jacob Dufour enrolled in Medicare?

Yes. Jacob Dufour 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 Dufour accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 11 other insurers list Jacob Dufour 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 Dufour was last updated on May 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.