JEDIAH WILLIAM HARRISON (OD) – Optometrist, NPI 1962068379

JEDIAH WILLIAM HARRISON (OD) is a healthcare provider. based in Wytheville, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618002783 (VA). The NPI Number for JEDIAH WILLIAM HARRISON (OD) is 1962068379

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JEDIAH WILLIAM HARRISON (OD)
NPI
1962068379
Phone
(276) 223-0242
Address
275 W Ridge Rd
Enumeration Date
13 May 2019
Last Update Date
24 July 2019

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4257882990
Graduation Year
2019 (7 years ago)
PAC ID
8729314885
Group Practice PAC ID
9234447517
Professional Enrollment ID
I20211229001809
Address ID
WA980198469DU14610NEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for JEDIAH WILLIAM HARRISON (OD)

  • 275 W Ridge Rd

    Wytheville, VA 243821155

    Phone: (276) 223-0242

    Fax: (276) 223-0262

    Type: Location

  • 5826 Ruebush Rd

    Dublin, VA 240842252

    Phone: (540) 674-6824

    Fax: (540) 674-8916

    Type: Location

  • West Stuart Drive, Hillsville, Carroll County, Virginia, 24343, United States

    HILLSVILLE, VA 243431555

    Phone: (276) 728-9323

    Fax: (276) 728-0400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-12-29

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
I20211229001809IOptometryWATBD

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
92250Photography of the retina127121$0
92014Established patient complete exam of visual system101101$0
92285Photography of content of eyes8679$0
92134Imaging of retina3533$0
99213Established patient office or other outpatient visit, 20-29 minutes3427$0
View full utilization report →

Insurance plans in this area (ZIP 24382)

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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: 9234447517View full group profile
NameSpecialtyState
-WA
O P T O M E T R YWA

Reviews

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Frequently asked questions

Does JEDIAH WILLIAM HARRISON (OD) have a public NPI I can cite?
Public records show JEDIAH WILLIAM HARRISON (OD) under NPI 1962068379.
Does the public listing show JEDIAH WILLIAM HARRISON (OD) as active?
JEDIAH WILLIAM HARRISON (OD)'s NPI record reflects an active status in NPPES.
What type of care does JEDIAH WILLIAM HARRISON (OD) provide?
JEDIAH WILLIAM HARRISON (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEDIAH WILLIAM HARRISON (OD)?
JEDIAH WILLIAM HARRISON (OD) is associated with Wytheville, Virginia in the same public data insurers reference.
Why is information missing for JEDIAH WILLIAM HARRISON (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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