Mr Joseph Barry Jackson, OD | |
3323 Frontage Rd, Peru, IL 61354-1101 | |
(815) 220-0652 | |
(815) 220-0732 |
Full Name | Mr Joseph Barry Jackson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 45 Years |
Location | 3323 Frontage Rd, Peru, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649352691 | NPI | - | NPPES |
CG4165 | Other | IL | MEDICARE RAILROAD |
7215175 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 46007341 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
J A K Enterprises Inc | 3173519014 | 24 |
Provider Name | J A K Enterprises Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508856923 PECOS PAC ID: 3173519014 Enrollment ID: O20040424000025 |
Mailing Address | Practice Location Address |
---|---|
Mr Joseph Barry Jackson, OD 8309 N Knoxville Ave, Peoria, IL 61615-2170 Ph: (309) 693-9540 | Mr Joseph Barry Jackson, OD 3323 Frontage Rd, Peru, IL 61354-1101 Ph: (815) 220-0652 |
Dr. Michael J Rooney, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 4th St, Peru, IL 61354 Phone: 815-223-0151 Fax: 815-223-0307 | |
Dr. David J Ludford, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 4th St, Peru, IL 61354 Phone: 815-223-0151 Fax: 815-223-0307 | |
Diana E Dracopoulos, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5255 State Route 251, Peru, IL 61354 Phone: 815-224-2700 | |
Eye Care Professionals Of Peru Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1921 4th St, Peru, IL 61354 Phone: 815-223-0151 Fax: 815-223-0307 | |
Dr. Anthony P Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 4th St, Peru, IL 61354 Phone: 815-223-0151 Fax: 815-223-0307 | |
Vep Il Optometric Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5255 State Route 251, Peru, IL 61354 Phone: 815-224-2700 |