JESSICA MERCADO ARCHAMBAULT O.D.
NPI 1780008508
Optometrist in Rancho Cucamonga, CA

Q: What is Jessica Archambault's NPI number?

The NPI number for Jessica Archambault is 1780008508. It was assigned to this individual provider in the NPPES registry on February 13, 2014.

Q: What is Jessica Archambault's specialty?

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

Active since February 13, 2014PECOS Enrolled

12759 FOOTHILL BLVD STE D, RANCHO CUCAMONGA, CA 91739(909) 899-0026 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Mercado Archambault O.d. NPPES

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

JESSICA MERCADO ARCHAMBAULT O.D. (NPI 1780008508) is an individual optometrist in Rancho Cucamonga, California, licensed in California (14819) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780008508

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJESSICA MERCADO ARCHAMBAULTCredential: O.D.

Location Address12759 FOOTHILL BLVD STE DRancho Cucamonga, CA 91739-9336

Mailing Address12759 Foothill Blvd, Suite DRancho Cucamonga, CA 91739-9336

Phone(909) 899-0026

Sole ProprietorNo

Enumeration DateFebruary 13, 2014

Last NPPES UpdateSeptember 4, 2014

✔ NPI 1780008508 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 CA · 14819

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.

12759 FOOTHILL BLVD STE D, Rancho Cucamonga, CA 91739

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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 (PECOS)

Jessica Mercado Archambault O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91739 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

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 Jessica Archambault's NPI number?

The NPI number for Jessica Archambault is 1780008508. It was assigned to this individual provider in the NPPES registry on February 13, 2014.

Where is Jessica Archambault located?

Jessica Archambault practices at 12759 Foothill Blvd Ste D, Rancho Cucamonga, CA 91739. The listed phone number is (909) 899-0026.

What is Jessica Archambault's specialty?

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

Is Jessica Archambault enrolled in Medicare?

Yes. Jessica Archambault is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Archambault 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 Jessica Archambault 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 Jessica Archambault was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.