Jacob Dufour, OD in Centerton, AR - Medicare Optometry Provider

Jacob Dufour, OD is a medicare enrolled "Optometrist - Vision Therapy" provider in Centerton, Arkansas. He went to Southern College Of Optometry and graduated in 2015 and has 10 years of diverse experience with area of expertise as Optometry. His current practice location is 101 Dawn Dr, Centerton, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 795-1411.

Jacob Dufour is licensed to practice in Arkansas (license number AR2754) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730556580.

Contact Information

	Jacob Dufour, OD
	101 Dawn Dr, Centerton, AR 72719-9314
	(479) 795-1411
	(479) 795-1412

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Dufour
Gender	Male
Speciality	Optometry
Experience	10 Years
Location	101 Dawn Dr, Centerton, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Dufour attended and graduated from Southern College Of Optometry in 2015

NPI Data:

NPI Number: 1730556580
Provider Enumeration Date: 08/27/2015
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8224326640
Enrollment ID: I20161018000095

Medical Identifiers

Medical identifiers for Jacob Dufour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730556580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WV0400X	Optometrist - Vision Therapy	AR2754 (Arkansas)	Primary
152W00000X	Optometrist	2754 (Arkansas)	Secondary
152WP0200X	Optometrist - Pediatrics	2754 (Arkansas)	Secondary
152WV0400X	Optometrist - Vision Therapy	OD 60559129 (Washington)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Dufour allows following entities to bill medicare on his behalf.

Provider Name	Petty And Petty P A
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457412991 PECOS PAC ID: 7517063159 Enrollment ID: O20070427000587

Provider Name	Bright Eyes Vision Care Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275116832 PECOS PAC ID: 9537569850 Enrollment ID: O20210608002467

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Dufour is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Dufour, OD 900 S 52nd St Ste 102, Rogers, AR 72758-8640 Ph: (479) 657-6006	Jacob Dufour, OD 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 795-1411

Reviews and Comments

Optometrist in Centerton, AR

Dr. Megan Jo Petty, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-426-1660
Kayton Coffee Brawner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412
Petty And Petty, P. A. Optometrist Medicare: Medicare Enrolled Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412
Pediatric Vision Development Center Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412
Dr. Regan Skye Petty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-426-1660

Jacob Dufour, OD - Medicare Optometrist in Centerton, AR