JACKSON DOLCE (OD) – Optometrist, NPI 1295628287

JACKSON DOLCE (OD) is a healthcare provider. based in Beaumont, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 11395TG (TX). The NPI Number for JACKSON DOLCE (OD) is 1295628287

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
JACKSON DOLCE (OD)
NPI
1295628287
Phone
(409) 202-6547
Address
5910 MUELA CREEK DR STE A
Enumeration Date
30 May 2025
Last Update Date
30 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
6305348327
Group Practice PAC ID
5597803130
Professional Enrollment ID
I20251119003101
Address ID
TX777061009BE5910XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for JACKSON DOLCE (OD)

  • 5910 MUELA CREEK DR STE A

    BEAUMONT, TX 777061004

    Phone: (409) 202-6547

    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)

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: 2025-11-19

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
I20251119003101IOptometryTXTBD

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 77706)

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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: 5597803130View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What identifier follows JACKSON DOLCE (OD) across health systems?
The NPI 1295628287 uniquely identifies JACKSON DOLCE (OD) in U.S. healthcare data.
Is JACKSON DOLCE (OD)'s NPI status active today?
Active status means JACKSON DOLCE (OD)'s NPI record is not deactivated in the public file.
What services align with JACKSON DOLCE (OD)'s listing?
JACKSON DOLCE (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to JACKSON DOLCE (OD)?
JACKSON DOLCE (OD) shows a connection to Beaumont, Texas in registry-derived data.
Who maintains JACKSON DOLCE (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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