DR. JACQUETTA EDWARDS (O.D.) – Optometrist, NPI 1487747887
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,048 OPTOMETRY in NJ
Provider Addresses for DR. JACQUETTA EDWARDS (O.D.)
106 Ferry St
Newark, NJ 071052106
Phone: (973) 589-8085
Type: Location
Johnny Rockets, 651, Kapkowski Road, Elizabeth, Union County, New Jersey, 07201, United States
SUITE 1236
ELIZABETH, NJ 072014901
Phone: (908) 354-1077
Fax: (908) 354-1344
Type: Location
Burger King, 651, Kapkowski Road, Elizabeth, Union County, New Jersey, 07201, United States
SUITE 1236
ELIZABETH, NJ 072014901
Phone: (908) 354-1077
Fax: (908) 354-1344
Type: Mailing
279 FERRY ST
NEWARK, NJ 071053400
Phone: (973) 344-2212
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $222.
Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Sight Sciences, Inc. ($102).
Total Amount
$222
General + Research + Ownership
Payments
7
Total payment records
General Amount
$222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sight Sciences, Inc. | $102 |
| Alcon Vision LLC | $95 |
| CooperVision Inc. | $25 |
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: 2005-03-02
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 |
|---|---|---|---|---|
| I20050302000911 | I | Optometry | NJ | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 68 | 67 | $0 |
| 92014 | Established patient complete exam of visual system | 56 | 56 | $0 |
| 92285 | Photography of content of eyes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 07105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NJ | |
| - | NJ | |
| - | PA | |
| - | NJ | |
| O P T O M E T R Y | PA |
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