GARY CHASE JACKSON O.D.
NPI 1992119838
Optometrist in Odessa, TX

Q: What is Gary Jackson's NPI number?

The NPI number for Gary Jackson is 1992119838. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Q: What is Gary 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 Gary Jackson 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 12 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 June 18, 2014PECOS Enrolled

6030 W UNIVERSITY BLVD, ODESSA, TX 79764(432) 640-6600 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gary Chase Jackson O.d. NPPES

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

GARY CHASE JACKSON O.D. (NPI 1992119838) is an individual optometrist in Odessa, Texas, licensed in Texas (8568) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992119838

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameGARY CHASE JACKSONCredential: O.D.

Location Address6030 W UNIVERSITY BLVDOdessa, TX 79764

Mailing AddressPo Box 2129Odessa, TX 79760-2129 · (432) 640-2408 · Fax (432) 640-4606

Phone(432) 640-6600

Sole ProprietorNo

Enumeration DateJune 18, 2014

Last NPPES UpdateSeptember 4, 2014

✔ NPI 1992119838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in TX · 8568✔ Licensed in ID · ODP-100307

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.

6030 W UNIVERSITY BLVD, Odessa, TX 79764

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Chase Jackson 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 Gary Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cantley Vision Inc Ps

1,338 mi

Optometrist

112 COLUMBIA POINT DR, SUITE 102
Richland, WA 99352

Reassigned Medicare billing, Washington enrollment
9 clinicians in this Medicare group

NPI 1811109671 (509) 943-6565

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 79764 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 11

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

BEVERLY MARIEL GIFFORD FNP

Nurse Practitioner (Family)