JESSICA DAWN HISAKO FLACK OD
NPI 1801563994
Optometrist in Richfield, MN

Active since August 25, 2021PECOS Enrolled
6500 PENN AVE S, RICHFIELD, MN 55423(612) 798-1720 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2021, Aug 25, 2021 (2 updates tracked since 2021).

About Jessica Dawn Hisako Flack Od NPPES

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

JESSICA DAWN HISAKO FLACK OD (NPI 1801563994) is an individual optometrist in Richfield, Minnesota, licensed in Minnesota (3716) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801563994
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJESSICA DAWN HISAKO FLACKCredential: OD
Location Address6500 PENN AVE SRichfield, MN 55423-1143
Mailing Address8400 Bass Lake Rd Apt 111New Hope, MN 55428-5311 · (403) 630-5705
Sole ProprietorNo
Enumeration DateAugust 25, 2021
Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
NPI 1801563994 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 MN · 3716
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.
6500 PENN AVE S, Richfield, MN 55423

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 (PECOS)

Jessica Dawn Hisako Flack Od 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 55423 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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
6500 PENN AVE S
RICHFIELD, MN 55423
Optometrist
6500 PENN AVE S
RICHFIELD, MN 55423
Optometrist
6500 PENN AVE S
RICHFIELD, MN 55423
Eyewear Supplier
6500 PENN AVE S
RICHFIELD, MN 55423
Optometrist
6500 PENN AVE S
RICHFIELD, MN 55423

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 Flack's NPI number?

The NPI number for Jessica Flack is 1801563994. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Jessica Flack located?

Jessica Flack practices at 6500 Penn Ave S, Richfield, MN 55423. The listed phone number is (612) 798-1720.

What is Jessica Flack's specialty?

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

Is Jessica Flack enrolled in Medicare?

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

What insurance does Jessica Flack accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Medica list Jessica Flack 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 Flack was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.