1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Optometrist
  6. NPI Profile

DR. JACQUELYN H PATTERSON O.D.
NPI 1912087909
Optometrist in Indianapolis, IN

Active since October 16, 2006PECOS Enrolled
2320 S TIBBS AVE, INDIANAPOLIS, IN 46241(317) 241-2019(317) 487-2182 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacquelyn H Patterson O.d. NPPES

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

DR. JACQUELYN H PATTERSON O.D. (NPI 1912087909) is an individual optometrist in Indianapolis, Indiana, licensed in Indiana (18001954A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1979).

NPPES Registry Identity

NPI1912087909
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACQUELYN H PATTERSONCredential: O.D.
Location Address2320 S TIBBS AVEIndianapolis, IN 46241-4801
Mailing Address103 Rohn RdMooresville, IN 46158-8073 · (317) 831-8480
Phone(317) 241-2019
Fax(317) 487-2182
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1979
Enumeration DateOctober 16, 2006
Last NPPES UpdateMay 31, 2012
✔ NPI 1912087909 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 IN · 18001954A
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.
2320 S TIBBS AVE, Indianapolis, IN 46241
Open in Google Maps ↗

Other Identifiers 4

Medicaid200970100IN
Medicare PIN1174804IN
Other18001954BIN · Controlled Substance Certificate
Medicare UPINU45555IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, 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 (PECOS)

Dr. Jacquelyn H Patterson O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597818922
PECOS Enrollment IDI20090803000661
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 46241 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

DR. NORMAN JAY HITTINGER JR. O.D.
Optometrist
2320 S TIBBS AVE
INDIANAPOLIS, IN 46241
Marion County (317) 241-2019

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 Jacquelyn Patterson's NPI number?

The NPI number for Jacquelyn Patterson is 1912087909. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Jacquelyn Patterson located?

Jacquelyn Patterson practices at 2320 S Tibbs Ave, Indianapolis, IN 46241. The listed phone number is (317) 241-2019.

What is Jacquelyn Patterson's specialty?

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

Is Jacquelyn Patterson enrolled in Medicare?

Yes. Jacquelyn Patterson is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Patterson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jacquelyn Patterson 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 Jacquelyn Patterson was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.