DR. JACK D GROVES (O.D.) – Optometrist, NPI 1952370165

DR. JACK D GROVES (O.D.) is a healthcare provider. based in Bakersfield, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4350 TPA (CA). The NPI Number for DR. JACK D GROVES (O.D.) is 1952370165

Main info

Male
66 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK D GROVES (O.D.)
NPI
1952370165
Phone
(661) 833-4040
Address
4649 PLANZ RD
Enumeration Date
17 March 2006
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
6618334040
Graduation Year
1960 (66 years ago)
PAC ID
7618007345
Group Practice PAC ID
5991085292
Professional Enrollment ID
I20100607000724
Address ID
CA933095900BA4649XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. JACK D GROVES (O.D.)

  • 4649 PLANZ RD

    BAKERSFIELD, CA 933095900

    Phone: (661) 833-4040

    Fax: (661) 833-6721

    Type: Mailing

  • Vanguard Medical Admin Office, 550, Central Avenue, Shafter, Kern County, California, 93263, United States

    SHAFTER, CA 932632122

    Phone: (661) 746-2765

    Fax: (661) 746-5513

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($83).

Total Amount

$83

General + Research + Ownership

Payments

1

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100607000724IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5931$0
92004New patient complete exam of visual system3737$0
92014Established patient complete exam of visual system3131$0
92250Photography of the retina1413$0
92133Imaging of optic nerve1312$0
View full utilization report →

Insurance plans in this area (ZIP 93309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991085292View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
-CA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What is the standard ID for DR. JACK D GROVES (O.D.) in the U.S.?
In the U.S., DR. JACK D GROVES (O.D.) is identified by NPI 1952370165.
Does the public listing show DR. JACK D GROVES (O.D.) as active?
DR. JACK D GROVES (O.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. JACK D GROVES (O.D.) provide?
DR. JACK D GROVES (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JACK D GROVES (O.D.)?
The directory associates DR. JACK D GROVES (O.D.) with Bakersfield, California. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. JACK D GROVES (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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