DR. ALEX MITCHELL JACKSON (O.D.) – Optometrist, NPI 1851814396
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
Provider Addresses for DR. ALEX MITCHELL JACKSON (O.D.)
2699 TOWNSEND CT
CLARKSVILLE, TN 370436487
Phone: (931) 647-8417
Fax: (931) 648-4435
Type: Location
3929 Lamar St
Ste B
Clarksville, TN 37040
Phone: (931) 245-3937
Fax: (931) 647-0354
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $606.
Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($124).
Total Amount
$606
General + Research + Ownership
Payments
26
Total payment records
General Amount
$606
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-11-09
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 |
|---|---|---|---|---|
| I20171109001149 | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 181 | 179 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 143 | 118 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 60 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 61 | 34 | $0 |
| 92133 | Imaging of optic nerve | 41 | 41 | $0 |
Insurance plans in this area (ZIP 37043)
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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 | |
| O P T O M E T R Y | TN | |
| - | TN |
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