Doctor profile · Federal record
Dr. Jacqueline de Jesse, OD
Optometrist · Brookhaven, PA
- NPI 1164419115
- 21 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4106 Edgmont Ave
Brookhaven, PA 190152314
(610) 872-8989
fax (610) 872-5220
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- November 25, 2008
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Pennsylvania #OEGOO1547
- Medicaid
- PA #0005487270005
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164419115. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
102
Distinct HCPCS
2
Medicare allowed
$7,674
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 80 | 76 | $77 | |
92012 |
Established patient problem focused exam of visual system | 22 | 15 | $68 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 51. This provider delivers 2.0× the peer median.Frequently asked questions
What is Dr. Jacqueline de Jesse's medical specialty?
Dr. Jacqueline de Jesse practices Optometrist in Brookhaven, PA.
Where does Dr. Jacqueline de Jesse practice?
Dr. Jacqueline de Jesse practices at 4106 Edgmont Ave, Brookhaven, PA 190152314. Office phone: 6108728989.
What is Dr. Jacqueline de Jesse's NPI?
Dr. Jacqueline de Jesse's National Provider Identifier (NPI) is 1164419115, issued by NPPES.
What procedures does Dr. Jacqueline de Jesse commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Established patient problem focused exam of visual system (HCPCS 92012). Source: CMS Medicare Physician & Other Practitioners file.