Megan Noel Jones, OD

Individual provider Active NPI Optometrist · Pendleton, IN

NPI 1962496430 · NPPES record last updated Sep 19, 2023

Key facts

NPI
1962496430
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
18003294A (IN)
Practice address
120 E State St
Pendleton, IN 46064-1027
Phone
(765) 778-7524
Fax
(765) 778-7525
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Indiana University - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pendleton Family Optometry, P.C. (2 clinicians)

Practice addresses (Care Compare)

120 E State St
Pendleton, IN 46064-1027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

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

Enrollment IDStateProvider typePAC IDDetails
I20041015000112 IN Practitioner - Optometry 2567422397 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
18003294AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pendleton Family Optometry PC Optometrist Current
since Aug 1, 2004
Accepting new patients

Locations

120 E State St
Pendleton, IN 46064
Phone (765) 778-7524

210 E Water St
Pendleton, IN 46064
Phone (765) 778-3332

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003294A IN Yes

Addresses

Primary practice location

120 E State St
Pendleton, IN 46064-1027

Mailing address

120 E State St
Pendleton, IN 46064-1027
Phone (765) 778-7524

Other identifiers

IdentifierTypeStateIssuer
000000350074OtherINBLUE CROSS AND BLUE SHIELD OF INDIANA
201417380OtherVISION SERVICE PLAN

Other names

  • Dr. Megan Noel Jackson Former name

Other providers in Pendleton, IN

All providers in Pendleton, IN · Optometrist in Indiana

Sources for this page

Verify at the official NPI Registry.