DANIEL MARK JACKSON (O.D.) – Optometrist, NPI 1972502391

DANIEL MARK JACKSON (O.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 960 (NE). The NPI Number for DANIEL MARK JACKSON (O.D.) is 1972502391

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL MARK JACKSON (O.D.)
NPI
1972502391
Phone
(402) 991-3131
Address
713 N 114TH ST
Enumeration Date
18 July 2005
Last Update Date
1 June 2016

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4025592020
Graduation Year
1987 (39 years ago)
PAC ID
5890793038
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20061121000746
Address ID
NE681051119OM3902XSTXX300
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

338 OPTOMETRY in NE

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Provider Addresses for DANIEL MARK JACKSON (O.D.)

  • 713, North 114th Street, Omaha, Douglas County, Nebraska, 68154, United States

    OMAHA, NE 681541515

    Phone: (402) 991-3131

    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: 2006-11-21

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
I20061121000746IOptometryNETBD

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
92250Photography of the retina6662$0
99213Established patient office or other outpatient visit, 20-29 minutes4543$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
99212Established patient office or other outpatient visit, 10-19 minutes2321$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 68154)

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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: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

What is the 10-digit NPI for DANIEL MARK JACKSON (O.D.)?
DANIEL MARK JACKSON (O.D.) — NPI 1972502391 — is the standard way to identify this listing.
Does the file indicate DANIEL MARK JACKSON (O.D.) is practicing under active NPI?
Directory data currently reports DANIEL MARK JACKSON (O.D.) as active.
What is DANIEL MARK JACKSON (O.D.)'s primary classification?
Optometrist is the headline specialty for DANIEL MARK JACKSON (O.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DANIEL MARK JACKSON (O.D.) on a map?
Expect Omaha, Nebraska as a primary anchor for DANIEL MARK JACKSON (O.D.) unless the record lists multiple sites.
Why does DANIEL MARK JACKSON (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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