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Active NPI 1477739100 Individual Practitioner Female Practitioner

Dr. Autumn H Jackson , OD

Optometrist • Middletown, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Autumn Jackson, OD is a certified Optometrist practicing in Middletown, RI. With approximately 20 years of clinical experience since graduating from New England College Of Optometry in 2006, Dr. Jackson delivers high-quality medical care to the local community at 73 VALLEY RD.

Dr. Jackson is affiliated with Eye Health Associates Of Rhode Island Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

73 Valley Rd

Middletown, RI 028425234

Telephone 4018471040
Fax 4018471049
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Middletown, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs -3.4 yrs vs City Avg
City Avg: 23.4 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Middletown, RI (280 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (20 Years) 20 Yrs
Middletown Specialty Average (23.4 Years) 23.4 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
92014 Established patient complete exam of visual system
286 279 $283.00 $130.85
99213 Established patient office or other outpatient visit, typically 15 minutes
100 74 $163.00 $94.42
92250 Photography of the retina
74 73 $182.00 $38.41
92133 Imaging of optic nerve
40 36 $108.00 $35.55
92004 New patient complete exam of visual system
33 33 $338.00 $155.53
92083 Exam of visual field with extended testing
32 32 $145.00 $65.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
30 21 $240.00 $129.97

Medical Specialties & State Licenses

CMS Verified: 2022-09-21
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTA00538

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MA 4642

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
0718769 (MA)
Medicaid State Provider ID
AJ73813 (RI)

Hospital & Practice Group Affiliations

Eye Health Associates Of Rhode Island Inc

73 Valley Rd, Middletown, RI 028425234

Phone: 4018452020

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1093714107

Doctor of Optometry

NPI 1114156841

Doctor of Osteopathic Medicine (D.O.)

NPI 1821085267

Doctor of Optometry

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2022

Optometrist (License #4642 in MA)

📍
Updated Business Mailing Address January 08, 2020

Registered at 73 VALLEY RD, MIDDLETOWN, RI 028425234 (Tel: 4018471040)

NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2017

Registered at 73 VALLEY RD, MIDDLETOWN, RI 028425234 (Tel: 4018471040)

📍
Updated Business Mailing Address May 03, 2017

Registered at 175 PARAMOUNT DR, SUITE 203, RAYNHAM, MA 027671065 (Tel: 7743203040)

👤
Provider Name / Credentials Updated May 03, 2017

Recorded as AUTUMN JACKSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Optometrist (License #4642 in MA)

NPI Profile Active September 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2015

Registered at 51 STATE RD, N DARTMOUTH, MA 027473319 (Tel: 5089941400)

📍
Updated Business Mailing Address September 21, 2015

Registered at 51 STATE RD, N DARTMOUTH, MA 027473319 (Tel: 5089941400)

👤
Provider Name / Credentials Updated September 21, 2015

Recorded as AUTUMN JACKSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2015

Optometrist (License #ODTA00538 in RI)

🟢
Initial NPI Registration & Enumeration January 11, 2008

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: 1477739100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2008
Last Update: September 21, 2022
Sole Proprietor: No

Mailing Address

73 Valley Rd

Middletown, RI 028425234

Phone: 4018471040

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.