DR. CHRISTOPHER JACOB (O.D.) – Optometrist, NPI 1336520386
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
672 OPTOMETRY in OR
Provider Addresses for DR. CHRISTOPHER JACOB (O.D.)
PO BOX 480
MOLALLA, OR 970380480
Phone:
Type: Mailing
502 E MAIN ST
MOLALLA, OR 970389148
Phone: (503) 829-9186
Type: Location
1584 E 350 S
SPRINGVILLE, UT 846632728
Phone:
Type: Mailing
262 E 400 S
SPRINGVILLE, UT 846631956
Phone: (801) 489-5166
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: 2018-11-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181101002606 | I | Optometry | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | 81 | 81 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 61 | 61 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 14 | 13 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 97038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | TN | |
| - | NE | |
| O P T O M E T R Y | NE | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | UT | |
| O P T O M E T R Y | CO | |
| - | MI |
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