JACKIE LYNNE BURRESS O.D.
NPI 1851604961
Optometrist in Tahlequah, OK

Q: What is Jackie Burress's NPI number?

The NPI number for Jackie Burress is 1851604961. It was assigned to this individual provider in the NPPES registry on July 17, 2010.

Q: What is Jackie Burress'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 Jackie Burress was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 17, 2010PECOS Enrolled

1001 N GRAND AVE, TAHLEQUAH, OK 74464(918) 456-5511 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jackie Lynne Burress O.d. NPPES

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

JACKIE LYNNE BURRESS O.D. (NPI 1851604961) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (2643) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851604961

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJACKIE LYNNE BURRESSCredential: O.D.

Location Address1001 N GRAND AVETahlequah, OK 74464-7017

Mailing Address1011 Honor Heights DrMuskogee, OK 74401-1318 · (918) 577-3000

Phone(918) 456-5511

Sole ProprietorNo

Enumeration DateJuly 17, 2010

Last NPPES UpdateMay 14, 2024

NPPES CertifiedMay 14, 2024

✔ NPI 1851604961 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 OK · 2643

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.

1001 N GRAND AVE, Tahlequah, OK 74464

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Lynne Burress 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.

Medicare Billing Reassignment

Medicare enrollment records show Jackie Burress reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeastern State University College Of Optometry

Same address

Optometrist

1001 N GRAND AVE
Tahlequah, OK 74464

Reassigned Medicare billing, Oklahoma enrollment
96 clinicians in this Medicare group

NPI 1437106333 (918) 458-2109

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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 20

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

DR. MICHELE BITHER-MARSHALL OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 458-2109

DR. RODNEY BENDURE OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 458-2109

DR. MEGAN J CHEE O.D.

Optometrist

1001 N GRAND AVE, NSU OKLAHOMA COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4031

DR. LATRICIA PACK OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 458-2109

DR. LAURA LAI MING CHAN OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4000

HANNAH MUNYAN SIKES OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4007

DR. RIYAD KHAMIS O.D

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 822-1299

MR. CEDRICK MAH OD

Optometrist (Low Vision Rehabilitation)

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4000

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 Jackie Burress's NPI number?

The NPI number for Jackie Burress is 1851604961. It was assigned to this individual provider in the NPPES registry on July 17, 2010.

Where is Jackie Burress located?

Jackie Burress practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 456-5511.

What is Jackie Burress's specialty?

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

Is Jackie Burress enrolled in Medicare?

Yes. Jackie Burress is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackie Burress's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Burress reassigns Medicare benefits to Northeastern State University College Of Optometry (Tahlequah, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Burress's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackie Burress was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.