DR. ANGELA KATHRYN JACKSON (OD) – Optometrist, NPI 1366435471
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
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Provider Addresses for DR. ANGELA KATHRYN JACKSON (OD)
27530 SWARTZWALDER RD
MILLBURY, OH 434479426
Phone: (419) 836-8755
Fax: (419) 666-9605
Type: Mailing
647, Lime City Road, Rossford, Wood County, Ohio, 43460, United States
ROSSFORD, OH 434601444
Phone: (419) 666-0700
Fax: (419) 666-9605
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $467.
Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Optos, Inc. ($190).
Total Amount
$467
General + Research + Ownership
Payments
14
Total payment records
General Amount
$467
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optos, Inc. | $190 |
| Bausch & Lomb Americas Inc. | $105 |
| Alcon Vision LLC | $58 |
| CooperVision Inc. | $58 |
| Tarsus Pharmaceuticals, Inc. | $24 |
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: 2010-08-20
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 |
|---|---|---|---|---|
| I20100820000061 | I | Optometry | OH | 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 | 1,988 | 15 | $0 |
| 92014 | Established patient complete exam of visual system | 248 | 247 | $0 |
| 92250 | Photography of the retina | 127 | 124 | $0 |
| 92134 | Imaging of retina | 75 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 54 | $0 |
Insurance plans in this area (ZIP 43447)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH |
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