ALLISON ACKER BISSOT (O.D.) – Optometrist, NPI 1093705295

ALLISON ACKER BISSOT (O.D.) is a healthcare provider. based in Jackson, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901004306 (MI). The NPI Number for ALLISON ACKER BISSOT (O.D.) is 1093705295

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON ACKER BISSOT (O.D.)
NPI
1093705295
Phone
(517) 787-0364
Address
1015 LAURENCE AVE
Enumeration Date
27 October 2005
Last Update Date
4 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5177870364
Graduation Year
2005 (21 years ago)
PAC ID
5294768651
Group Practice PAC ID
6507899952
Professional Enrollment ID
I20050915000646
Address ID
MI492022964JA1015XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for ALLISON ACKER BISSOT (O.D.)

  • 1015, Laurence Avenue, Blackman Charter Township, Jackson County, Michigan, 49202, United States

    JACKSON, MI 492022964

    Phone: (517) 787-0364

    Fax: (517) 787-2272

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-09-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050915000646IOptometryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system6865$0
92012Established patient problem focused exam of visual system1914$0
92133Imaging of optic nerve1515$0
92083Exam of visual field with extended testing1411$0
View full utilization report →

Insurance plans in this area (ZIP 49202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507899952View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P H T H A L M O L O G YMI
-MI

Reviews

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Frequently asked questions

How is ALLISON ACKER BISSOT (O.D.) identified in CMS data?
CMS-hosted NPPES data lists ALLISON ACKER BISSOT (O.D.) with NPI 1093705295.
Does CMS list ALLISON ACKER BISSOT (O.D.) as active?
Yes — ALLISON ACKER BISSOT (O.D.) is active in the NPI listing used on this page.
What is ALLISON ACKER BISSOT (O.D.)'s specialty?
The listing groups ALLISON ACKER BISSOT (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is ALLISON ACKER BISSOT (O.D.) based?
ALLISON ACKER BISSOT (O.D.) is tied to Jackson, Michigan in the data we show; additional addresses may exist on the full record.
Why does ALLISON ACKER BISSOT (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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