DR. JESSICA JACOB (OD) – Optometrist, NPI 1619650827

DR. JESSICA JACOB (OD) is a healthcare provider. based in Orlando, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6312 (FL). The NPI Number for DR. JESSICA JACOB (OD) is 1619650827

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA JACOB (OD)
NPI
1619650827
Phone
(407) 855-3100
Address
1455 HOLDEN AVE
Enumeration Date
14 August 2023
Last Update Date
8 November 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4073331537
Graduation Year
2023 (3 years ago)
PAC ID
1759814759
Group Practice PAC ID
6406843945
Professional Enrollment ID
I20241029004477
Address ID
FL327465404LA1070XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. JESSICA JACOB (OD)

  • 1455 HOLDEN AVE

    ORLANDO, FL 328391702

    Phone: (407) 855-3100

    Fax: (407) 854-0386

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $385.

Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($219).

Total Amount

$385

General + Research + Ownership

Payments

5

Total payment records

General Amount

$385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

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: 2024-10-29

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
I20241029004477IOptometryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32839)

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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: 6406843945View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
O P H T H A L M O L O G YFL
-FL
O P T O M E T R YFL
O P T O M E T R YNJ
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YAL

Reviews

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Frequently asked questions

What is the registry number for DR. JESSICA JACOB (OD)?
The registry entry for DR. JESSICA JACOB (OD) shows NPI 1619650827.
Does the public listing show DR. JESSICA JACOB (OD) as active?
DR. JESSICA JACOB (OD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. JESSICA JACOB (OD)?
NPPES ties DR. JESSICA JACOB (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JESSICA JACOB (OD) in Orlando, Florida?
For routing, start with Orlando, Florida for DR. JESSICA JACOB (OD), then verify phone and hours locally.
Who maintains DR. JESSICA JACOB (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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