ALYSSA JACKSON (OD) – Optometrist, NPI 1174053433
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
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Provider Addresses for ALYSSA JACKSON (OD)
Lamar Drive, Clarksville, Montgomery County, Tennessee, United States
CLARKSVILLE, TN 370401425
Phone: (931) 245-3937
Fax: (931) 647-0354
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 23 Open Payments records for all available years, with a total value of $624.
Total Amount is formed as General ($624) + Research ($0) + Ownership ($0) = $624.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($138).
Total Amount
$624
General + Research + Ownership
Payments
23
Total payment records
General Amount
$624
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $138 |
| LKC Technologies, Inc. | $115 |
| Optos, Inc. | $67 |
| CooperVision Inc. | $44 |
| Bausch & Lomb Americas Inc. | $39 |
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: 2017-12-01
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 |
|---|---|---|---|---|
| I20171201000983 | I | Optometry | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 67 | $0 |
| 92012 | Established patient problem focused exam of visual system | 51 | 51 | $0 |
| 92014 | Established patient complete exam of visual system | 27 | 27 | $0 |
| 92002 | New patient problem focused exam of visual system | 18 | 18 | $0 |
| 92250 | Photography of the retina | 14 | 13 | $0 |
Insurance plans in this area (ZIP 37040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | TN | |
| - | TN | |
| O P T O M E T R Y | TN |
Reviews
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