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Active NPI 1649352691 Individual Practitioner Male Practitioner

Dr. Joseph Barry Jackson , OD

Optometrist • Peru, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Jackson, OD is a certified Optometrist practicing in Peru, IL. With approximately 46 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1980, Dr. Jackson delivers high-quality medical care to the local community at 3323 FRONTAGE RD.

Dr. Jackson is affiliated with J A K Enterprises Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3323 Frontage Rd

Peru, IL 613541101

Telephone 8152200652
Fax 8152200732
Associated Practice Facility / Clinic
🏢 J A K Enterprises Inc Facility NPI 1831323419

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Peru, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
46 Yrs +18.2 yrs vs City Avg
City Avg: 27.8 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Peru, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
22.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (46 Years) 46 Yrs
Peru Specialty Average (27.8 Years) 27.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
47 45 $90.00 $86.97
92250 Photography of the retina
29 29 $85.00 $34.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
23 23 $120.00 $107.31

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 46007341

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Railroad
CG4165 (IL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
7215175 (IL)

Hospital & Practice Group Affiliations

J A K Enterprises Inc

3323 Frontage Rd, Peru, IL 613541101

Phone: 8152200652

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2014

Registered at 3323 FRONTAGE RD, PERU, IL 613541101 (Tel: 8152200652)

📍
Updated Business Mailing Address January 08, 2014

Registered at 8309 N KNOXVILLE AVE, PEORIA, IL 616152170 (Tel: 3096939540)

👤
Provider Name / Credentials Updated January 08, 2014

Recorded as JOSEPH JACKSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2014

Optometrist (License #46007341 in IL)

🟢
Initial NPI Registration & Enumeration October 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649352691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2006
Last Update: January 08, 2014
Sole Proprietor: No

Mailing Address

8309 N Knoxville Ave

Peoria, IL 616152170

Phone: 3096939540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.