JACOB DANIEL LOCK (OD) – Optometrist, NPI 1699516898

JACOB DANIEL LOCK (OD) is a healthcare provider. based in Milton, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6464 (FL). The NPI Number for JACOB DANIEL LOCK (OD) is 1699516898

Main info

Male
2 Years Of Experience
Name
JACOB DANIEL LOCK (OD)
NPI
1699516898
Phone
(850) 623-2545
Address
5560 Stewart St
Enumeration Date
3 June 2024
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504771499
Graduation Year
2024 (2 years ago)
PAC ID
5890239602
Group Practice PAC ID
3375584295
Professional Enrollment ID
I20240703003702
Address ID
FL325141441PE460XXRDXX500
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

2,056 OPTOMETRY in FL

Provider Addresses for JACOB DANIEL LOCK (OD)

  • 5560 Stewart St

    Milton, FL 325704304

    Phone: (850) 623-2545

    Type: Location

  • 800 N 12th Ave

    Pensacola, FL 325013303

    Phone: (850) 912-4222

    Fax: (850) 912-4227

    Type: Location

  • 2491 S Ferdon Blvd

    Crestview, FL 325368463

    Phone: (850) 682-4014

    Fax: (850) 682-0387

    Type: Location

  • 460 E Nine Mile Rd

    Pensacola, FL 325141441

    Phone: (850) 477-1499

    Fax: (850) 479-3359

    Type: Location

  • 460 E NINE MILE RD

    PENSACOLA, FL 325141441

    Phone: (850) 477-1499

    Fax: (850) 479-3359

    Type: Mailing

  • 4377 WOODBINE RD

    PACE, FL 325718792

    Phone: (850) 995-4555

    Fax: (850) 995-4556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-07-03

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
I20240703003702IOptometryFLTBD

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 32570)

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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: 3375584295View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YAL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YNC
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JACOB DANIEL LOCK (OD)?
JACOB DANIEL LOCK (OD) — NPI 1699516898 — is the standard way to identify this listing.
Is JACOB DANIEL LOCK (OD) still practicing?
JACOB DANIEL LOCK (OD) is currently listed as active in the public NPI registry.
What is JACOB DANIEL LOCK (OD) best known for clinically?
Directory data describes JACOB DANIEL LOCK (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect JACOB DANIEL LOCK (OD) on a map?
Expect Milton, Florida as a primary anchor for JACOB DANIEL LOCK (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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