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Active NPI 1164419115 Individual Practitioner Female Practitioner

Dr. Jacqueline Rita De Jesse , OD

Optometrist • Brookhaven, PA

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline De Jesse, OD is a registered healthcare professional specializing in Optometrist in Brookhaven, PA. Practice services are available at 4106 EDGMONT AVE under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

4106 Edgmont Ave

Brookhaven, PA 190152314

Telephone 6108728989
Fax 6108725220
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Brookhaven, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.0 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Brookhaven, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
80 76 $78.25 $77.23
92012 Established patient problem focused exam of visual system
22 15 $69.00 $68.00

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEGOO1547

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
0005487270005 (PA)
Commercial Insurance / Payer ID Highmark
064195 (PA)
Commercial Insurance / Payer ID Railroad Medicare
442580095 (PA)
Commercial Insurance / Payer ID Aetna Non-Hmo
5704053 (PA)
Commercial Insurance / Payer ID Aetna Hmo
0055699 (PA)
Commercial Insurance / Payer ID Independence Blue Cross
0062198000 (PA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2008

Registered at 4106 EDGMONT AVE, BROOKHAVEN, PA 190152314 (Tel: 6108728989)

📍
Updated Business Mailing Address November 25, 2008

Registered at 4106 EDGMONT AVE, BROOKHAVEN, PA 190152314 (Tel: 6108728989)

👤
Provider Name / Credentials Updated November 25, 2008

Recorded as JACQUELINE DE JESSE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2008

Optometrist (License #OEGOO1547 in PA)

🟢
Initial NPI Registration & Enumeration October 04, 2005

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: 1164419115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2005
Last Update: November 25, 2008
Sole Proprietor: No

Mailing Address

4106 Edgmont Ave

Brookhaven, PA 190152314

Phone: 6108728989

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.