Jackie Michael Jones, OD

Key facts

NPI

1477540136

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

18002439B (IN)

Practice address

3501 N Granville Ave
Muncie, IN 47303-1263

Phone

(765) 289-8005

NPI assigned

Sep 28, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 6

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

• City Optical Co., Inc. Optometrist · Bloomington, IN · NPI 1003805185
  Medicare reassignment Care Compare group NPD IN · OPTOMETRIST
• City Optical Co., Inc. Optometrist · Elkhart, IN · NPI 1891784971
  NPD OPTOMETRIST
• City Optical Co., Inc. Optometrist · Fishers, IN · NPI 1366274235
  NPD (past) OPTOMETRIST
• City Optical Co., Inc. Optometrist · Westfield, IN · NPI 1730980046
  NPD (past) OPTOMETRIST
• City Optical Co., Inc. Optometrist · Terre Haute, IN · NPI 1881683977
  NPD (past) OPTOMETRIST
• Dr Tavel of Evansville, LLC Optometrist · Evansville, IN · NPI 1205825700
  NPD (past) OPTOMETRIST

Medicare Care Compare profile

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 Inc (49 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "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": []
}

Other providers in Muncie, IN

• Lori S Johnston, OD
• Ryan M Johnston, MD
• Victor R Jolgren, M.D.
• Lora J. Jones-McClure, M.D.
• Diana Lynn Jones, WHCNP
• Jennifer N Jones, M.D.
• Jessica Louise Jones, DO
• Kimberly Laron Jones
• Lani M Jones, PSYD, HSPP
• Lisa M Jones, FNP-C

All providers in Muncie, IN · Optometrist in Indiana