Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Hannon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124388525

Jacob Hannon is an Optometry in Cody, Wyoming. Graduated from Pacific University - College of Optometry in 2012, 14 years ago. Practices with Accuvision Eye Care OD, PA, a 13-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Trained at
Pacific University - College of Optometry
Licensed in
VA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

2814 Kent Ave
Cody, WY 82414-8250
Phone: (307) 272-2716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618002148 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124388525
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2012
Last updated in NPPESMarch 30, 2016
Mailing address1624 Nc Highway 14, Apt A-2, Reidsville, NC 27320-9666

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2012 (14 years in practice)
Group practice Accuvision Eye Care Od, Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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