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DR. WARREN JACKSON OD
NPI 1992648133
Optometrist in Windham, ME

Active since April 13, 2026PECOS Enrolled
656 ROOSEVELT TRL, WINDHAM, ME 04062(207) 389-3525 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, Apr 13, 2026 (2 updates tracked since 2026).

About Dr. Warren Jackson Od NPPES

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

DR. WARREN JACKSON OD (NPI 1992648133) is an individual optometrist in Windham, Maine, licensed in Maine (OPT1120) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2026).

NPPES Registry Identity

NPI1992648133
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. WARREN JACKSONCredential: OD
Location Address656 ROOSEVELT TRLWindham, ME 04062-5271
Mailing Address656 Roosevelt TrlWindham, ME 04062-5271
Phone(207) 389-3525
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2026
Enumeration DateApril 13, 2026
Last NPPES UpdateJune 14, 20262 updates tracked since enumeration
NPPES CertifiedJune 14, 2026
✔ NPI 1992648133 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 ME · OPT1120
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.
656 ROOSEVELT TRL, Windham, ME 04062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Dr. Warren Jackson Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638638620
PECOS Enrollment IDI20260830000245
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 Warren Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maine Optometry PA
9.4 mi
Optometrist
14 VISTA DR STE 200
Gorham, ME 04038
  • Reassigned Medicare billing, Maine enrollment
  • 27 clinicians in this Medicare group
NPI 1437182383 (207) 729-8474

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 04062 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

DEVON MERRITT OD
Optometrist
656 ROOSEVELT TRL
WINDHAM, ME 04062
Cumberland County (207) 389-3525

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 Warren Jackson's NPI number?

The NPI number for Warren Jackson is 1992648133. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Warren Jackson located?

Warren Jackson practices at 656 Roosevelt Trl, Windham, ME 04062. The listed phone number is (207) 389-3525.

What is Warren Jackson's specialty?

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

Is Warren Jackson enrolled in Medicare?

Yes. Warren Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Warren Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Warren Jackson reassigns Medicare benefits to Maine Optometry PA (Gorham, ME). 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 Warren Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Warren Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Warren 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 Warren Jackson was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.