Jacob Hannon
NPI 1124388525ActiveIndividual· Optometrist· Cody, WY
Optometrist in Cody, Wyoming, trained at Pacific University - College of Optometry (class of 2012). Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1124388525 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 21, 2012 |
| Last updated in NPPES | Mar 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 0618002148 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (NC) |
|---|
Education and affiliations
| Medical school | Pacific University - College of Optometry |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Optometry |
Medical group
- Accuvision Eye Care Od, PAMatthews, NC · 14 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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