Jackie Michael Jones, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002439B Issued in IN

Practice address

3501 N Granville Ave
Muncie, IN 47303-1263

Phone

(765) 289-8005

NPI assigned

Sep 28, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Optical Co IncGroup PAC ID 5597668574, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Bloomington, IN
  • NPI 1003805185
  Medicare reassignment Care Compare group NPD
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Elkhart, IN
  • NPI 1891784971
  NPD
• City Optical Co., Inc.

  • Optometrist
  • Fishers, IN
  • NPI 1366274235
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Westfield, IN
  • NPI 1730980046
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Terre Haute, IN
  • NPI 1881683977
  NPD (past)
• Dr Tavel of Evansville, LLC

  dba Dr Tavel's Family Eye Care

  • Optometrist
  • Evansville, IN
  • NPI 1205825700
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477540136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041423",
            "telephone_number": "765-284-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N GRANVILLE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031263",
            "telephone_number": "765-289-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACKIE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2026-07-13",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002439B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan M Johnston, MD
• Victor R Jolgren, M.D.
• Lora J. Jones-McClure, M.D.
• Diana Lynn Jones, WHCNP
• Emma Jones
• Jennifer N Jones, M.D.
• Kimberly Laron Jones
• Lani M Jones, PSYD, HSPP
• Lisa M Jones, FNP-C
• Monique Jones

• Optometrist in Muncie, IN
• Providers in Muncie, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.