DR. JESSICA VICKERY (O.D.) – Optometrist, NPI 1922630136

DR. JESSICA VICKERY (O.D.) is a healthcare provider. based in Chester, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. TA2694 (MD). The NPI Number for DR. JESSICA VICKERY (O.D.) is 1922630136

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA VICKERY (O.D.)
NPI
1922630136
Phone
(804) 287-4200
Address
11601 Iron Bridge Rd
Enumeration Date
5 February 2020
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4343928113
Graduation Year
2019 (7 years ago)
PAC ID
6608205794
Group Practice PAC ID
6305828062
Professional Enrollment ID
I20230705003021
Address ID
VA239011537FA100XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for DR. JESSICA VICKERY (O.D.)

  • 11601 Iron Bridge Rd

    Chester, VA 238311466

    Phone: (804) 287-4200

    Fax: (804) 282-4048

    Type: Location

  • 611 Watkins Centre Pkwy

    Midlothian, VA 231144404

    Phone: (804) 287-4200

    Fax: (804) 282-4048

    Type: Location

  • 6946 Forest Ave

    Richmond, VA 232301706

    Phone: (804) 287-4200

    Fax: (804) 282-4048

    Type: Location

  • 12018 W Broad St

    Henrico, VA 232337796

    Phone: (804) 287-4200

    Fax: (804) 282-4048

    Type: Location

  • 2015 Waterside Rd

    Prince George, VA 238751265

    Phone: (804) 287-4200

    Fax: (804) 282-4048

    Type: Location

  • 8120 Pleasant Grove Rd

    Mechanicsville, VA 231162343

    Phone: (804) 287-4200

    Fax: (804) 282-4048

    Type: Location

  • 1600 6TH AVE STE 119B

    YORK, PA 174032627

    Phone: (717) 650-6148

    Fax: (717) 855-2653

    Type: Mailing

  • 400 WESTHAMPTON STA

    RICHMOND, VA 232263330

    Phone: (804) 287-4200

    Fax: (804) 282-4048

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $605.

Total Amount is formed as General ($605) + Research ($0) + Ownership ($0) = $605.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($306).

Total Amount

$605

General + Research + Ownership

Payments

15

Total payment records

General Amount

$605

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2023-07-05

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
I20230705003021IOptometryVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 23831)

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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: 6305828062View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P H T H A L M O L O G YVA
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YWV
O P H T H A L M O L O G YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YMD
O P T O M E T R YVA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JESSICA VICKERY (O.D.)'s NPI?
Yes. DR. JESSICA VICKERY (O.D.) is listed with NPI 1922630136 in the public NPI dataset.
Does the file indicate DR. JESSICA VICKERY (O.D.) is practicing under active NPI?
Directory data currently reports DR. JESSICA VICKERY (O.D.) as active.
What taxonomy line describes DR. JESSICA VICKERY (O.D.)?
For research purposes, treat DR. JESSICA VICKERY (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. JESSICA VICKERY (O.D.) based?
DR. JESSICA VICKERY (O.D.) is tied to Chester, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
10 practice locations appear in the available data.

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