FREDRICK J JACKSON (OD) – Optometrist, NPI 1609807015
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
619 OPTOMETRY in AL
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Provider Addresses for FREDRICK J JACKSON (OD)
8436, Vaughn Road, Ranchette Estates, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361178862
Phone: (334) 271-3900
Fax: (334) 271-3915
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $1,348.
Total Amount is formed as General ($1,348) + Research ($0) + Ownership ($0) = $1,348.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Alcon Vision LLC ($605).
Total Amount
$1,348
General + Research + Ownership
Payments
55
Total payment records
General Amount
$1,348
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $605 |
| Bausch & Lomb Americas Inc. | $242 |
| Johnson & Johnson Vision Care, Inc. | $104 |
| Sun Pharmaceutical Industries Inc. | $96 |
| ABBVIE INC. | $69 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050711000685 | I | Optometry | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,513 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 86 | 86 | $0 |
| 92133 | Imaging of optic nerve | 84 | 55 | $0 |
| 92134 | Imaging of retina | 74 | 67 | $0 |
Insurance plans in this area (ZIP 36117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| - | MO | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | AL | |
| - | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | MO |
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