DR. KREYTON DIRK JACKSON (O.D.) – Optometrist, NPI 1982915203

DR. KREYTON DIRK JACKSON (O.D.) is a healthcare provider. based in Ontario, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3357AT (OR). The NPI Number for DR. KREYTON DIRK JACKSON (O.D.) is 1982915203

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KREYTON DIRK JACKSON (O.D.)
NPI
1982915203
Phone
(541) 889-2020
Address
279 SW 10TH ST
Enumeration Date
1 July 2010
Last Update Date
1 July 2010

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
8337762020
Graduation Year
2010 (16 years ago)
PAC ID
7315133766
Group Practice PAC ID
6507184744
Professional Enrollment ID
I20111104000313
Address ID
ID834046515ID2990X25TH300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for DR. KREYTON DIRK JACKSON (O.D.)

  • 279 SW 10TH ST

    ONTARIO, OR 979142135

    Phone: (541) 889-2020

    Fax: (541) 889-9675

    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)

CMS reports 24 Open Payments records for all available years, with a total value of $673.

Total Amount is formed as General ($673) + Research ($0) + Ownership ($0) = $673.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($256).

Total Amount

$673

General + Research + Ownership

Payments

24

Total payment records

General Amount

$673

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2011-11-04

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
I20111104000313IOptometryIDTBD

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 system253247$0
66984Removal of cataract with insertion of prosthetic lens9652$0
92004New patient complete exam of visual system8585$0
99213Established patient office or other outpatient visit, 20-29 minutes7255$0
92250Photography of the retina6565$0
View full utilization report →

Insurance plans in this area (ZIP 97914)

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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: 6507184744View full group profile
NameSpecialtyState
O P T O M E T R YNY

Reviews

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Frequently asked questions

Is there an official ID for DR. KREYTON DIRK JACKSON (O.D.) in U.S. healthcare records?
The official identifier for DR. KREYTON DIRK JACKSON (O.D.) is NPI 1982915203.
Is DR. KREYTON DIRK JACKSON (O.D.) shown as active in public data?
Registry records indicate DR. KREYTON DIRK JACKSON (O.D.) maintains an active NPI.
What clinical focus is listed for DR. KREYTON DIRK JACKSON (O.D.)?
At a glance, DR. KREYTON DIRK JACKSON (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. KREYTON DIRK JACKSON (O.D.) associated with Ontario?
Public fields place DR. KREYTON DIRK JACKSON (O.D.) around Ontario, Oregon. Always confirm the exact site before visiting.
Does DR. KREYTON DIRK JACKSON (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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