| 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 | 46 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 | 25 |
| 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 | |
Dr. Chase N Ludford, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1921 4th St, Peru, IL 61354 Phone: 815-223-0151 Fax: 815-223-0307 | |
Oneopto Il 2 Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5255 State Route 251, Peru, IL 61354 Phone: 815-224-2700 Fax: 815-224-1178 | |
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 |