JACQUELINE BYRD – Optometrist, NPI 1023549011

JACQUELINE BYRD is a healthcare provider. based in California, Missouri. specializing in OPTOMETRY. They hold a License No. 2017017719 (MO). The NPI Number for JACQUELINE BYRD is 1023549011

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE BYRD
NPI
1023549011
Phone
(573) 796-2222
Address
202 E NORTH ST
Enumeration Date
22 March 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738742030
Graduation Year
2017 (9 years ago)
PAC ID
7517235104
Group Practice PAC ID
2769574714
Professional Enrollment ID
I20170623000295
Address ID
MO652018104CO500XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for JACQUELINE BYRD

  • 202, East North Street, Anaheim, Orange County, California, 92805, United States

    CALIFORNIA, MO 650181583

    Phone: (573) 796-2222

    Fax: (573) 796-4184

    Type: Location

  • 103 W Moniteau St

    Tipton, MO 650818248

    Phone: (660) 433-2020

    Fax: (660) 433-2029

    Type: Location

  • South Gerhart Road, California, Moniteau County, Missouri, 65018, United States

    CALIFORNIA, MO 650183155

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,293.

Total Amount is formed as General ($1,293) + Research ($0) + Ownership ($0) = $1,293.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: CooperVision Inc. ($834).

Total Amount

$1,293

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,293

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-06-23

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
I20170623000295IOptometryMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes126122$0
99213Established patient office or other outpatient visit, 20-29 minutes5442$0
92134Imaging of retina4339$0
92014Established patient complete exam of visual system3838$0
92133Imaging of optic nerve3229$0
View full utilization report →

Insurance plans in this area (ZIP 65018)

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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: 2769574714View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P H T H A L M O L O G YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
-MO
O P T O M E T R YMO
O P H T H A L M O L O G YMO

Reviews

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Frequently asked questions

What is the registry number for JACQUELINE BYRD?
The registry entry for JACQUELINE BYRD shows NPI 1023549011.
Is JACQUELINE BYRD currently accepting referrals based on NPI status?
Registry metadata lists JACQUELINE BYRD as active.
How should patients interpret JACQUELINE BYRD's specialty?
The extract shows Optometrist for JACQUELINE BYRD. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JACQUELINE BYRD?
JACQUELINE BYRD is associated with California, Missouri in the same public data insurers reference.
Why is information missing for JACQUELINE BYRD?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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