DR. CHAD J JACKSON OD
NPI 1780772533
Optometrist in Rockford, MI

Q: What is Chad Jackson's NPI number?

The NPI number for Chad Jackson is 1780772533. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Chad Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chad Jackson was last updated on November 26, 2018. 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.

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment

6575 BELDING RD NE, SUITE D, ROCKFORD, MI 49341(616) 874-2020(616) 874-2773 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Chad J Jackson Od NPPES

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

DR. CHAD J JACKSON OD (NPI 1780772533) is an individual optometrist in Rockford, Michigan, licensed in Michigan (4901003954) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1998).

NPPES Registry Identity

NPI1780772533

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. CHAD J JACKSONCredential: OD

Location Address6575 BELDING RD NE, SUITE DRockford, MI 49341-7418

Mailing Address6575 Belding Rd Ne Ste DRockford, MI 49341-7417 · (616) 874-2020 · Fax (616) 874-2773

Phone(616) 874-2020

Fax(616) 874-2773

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1998

Enumeration DateOctober 10, 2006

Last NPPES UpdateNovember 26, 2018

✔ NPI 1780772533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901003954

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 4901003954 (MI)

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 4901003954 (MI)

6575 BELDING RD NE, Rockford, MI 49341

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Other Identifiers 1

Other90OD114940MI · Bluecross/blue Sheild

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, 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

Dr. Chad J Jackson Od 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 ID8921025636

PECOS Enrollment IDI20051102000147

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 2

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.

26 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49341 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 3

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

KMWA, LLC

Chiropractor

6575 BELDING RD NE, SUITE C
ROCKFORD, MI 49341

Kent County (616) 874-8777

CHAD J. JACKSON, OD, PLLC

Optometrist

6575 BELDING RD NE, SUITE D
ROCKFORD, MI 49341

Kent County (616) 874-2020

DR. LORI LYNN WALENGA DC

Chiropractor

6575 BELDING RD NE
ROCKFORD, MI 49341

Kent County (616) 874-8777

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 Chad Jackson's NPI number?

The NPI number for Chad Jackson is 1780772533. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Chad Jackson located?

Chad Jackson practices at 6575 Belding Rd NE Suite D, Rockford, MI 49341. The listed phone number is (616) 874-2020.

What is Chad Jackson's specialty?

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

Is Chad Jackson enrolled in Medicare?

Yes. Chad 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 Chad Jackson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Chad 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 Chad Jackson was last updated on November 26, 2018. 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.