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Active NPI 1407906084 Individual Practitioner Male Practitioner

Dr. Jonathan Floyd Jackson , OD

Optometrist • Wilmington, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Jackson, OD is a certified Optometrist practicing in Wilmington, NC. With approximately 23 years of clinical experience since graduating from Pennsylvania College Of Optometry in 2003, Dr. Jackson delivers high-quality medical care to the local community at 5135 CAROLINA BEACH RD.

Dr. Jackson maintains professional affiliations with Carolina Vision Associates Od Pa, Jackson Eye Associates, Od, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5135 Carolina Beach Rd

Wilmington, NC 284122516

Telephone 9107931157
Fax 9107931158
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1093732240

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Wilmington, NC

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +3.2 yrs vs City Avg
City Avg: 19.8 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
60 Specialists

Practicing in Wilmington, NC (1531 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
4.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (23 Years) 23 Yrs
Wilmington Specialty Average (19.8 Years) 19.8 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
66984 Removal of cataract with insertion of lens
2,136 16 $1.67 $1.12
92014 Established patient complete exam of visual system
30 30 $123.00 $117.22
92004 New patient complete exam of visual system
20 20 $145.00 $139.49

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NC 1907

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

Medicaid State Provider ID
89093NY (NC)

Hospital & Practice Group Affiliations

Jackson Eye Associates, Od, Pa

5135 Carolina Beach Rd, Wilmington, NC 284122516

Phone: 9107931157

Carolina Vision Associates Od Pa

5301 Market St, Wilmington, NC 284053505

Carolina Vision Associates Od Pa

5301 B Market St, Wilmington, NC 284053505

Phone: 9102026765

Jackson Eye Associates, Od, Pa

1112 Newpointe Blvd, Leland, NC 284514115

Phone: 9107931157

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1710467980

Doctor of Optometry

NPI 1982754586

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5135 CAROLINA BEACH RD, WILMINGTON, NC 284122516 (Tel: 9107931157)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5443 MARINA CLUB DR, WILMINGTON, NC 284094104

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN JACKSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #1907 in NC)

🟢
Initial NPI Registration & Enumeration January 12, 2007

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: 1407906084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5443 Marina Club Dr

Wilmington, NC 284094104

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.