Trichelle Mae Jackson, O.D.
Individual provider Active NPI Optometrist · Forest City, IA
NPI 1720347644 · NPPES record last updated Feb 22, 2013
Key facts
- NPI
- 1720347644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 002543 (IA)
- Practice address
- 139 E K St
Forest City, IA 50436-1501 - Phone
- (641) 585-3590
- Fax
- (641) 585-4058
- NPI assigned
- May 12, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Donald W Furman PC
Practice addresses (Care Compare)
139 E K St
Forest City, IA 50436-1501
Phone (641) 585-3590
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.83 of 100
- Quality
- 79.66
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 36 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120804000098 | IA | Practitioner - Optometry | 6800042078 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald W. Furman, P.C. | Optometrist | Current | Accepting new patients |
| Donald W. Furman, P.C. | Optometrist | Current |
Accepting new patients |
| Donald W. Furman, P.C. | Optometrist | Current |
Accepting new patients |
Locations
90 Main Ave N
Britt, IA 50423
Phone (515) 843-3841
139 E K St
Forest City, IA 50436
Phone (641) 585-3590
45 State St
Garner, IA 50438
Phone (641) 843-3841
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002543 | IA | Yes |
Addresses
Primary practice location
139 E K St
Forest City, IA 50436-1501
Mailing address
PO Box 410
Forest City, IA 50436-0410
Phone (641) 585-3590
Other providers in Forest City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.