JACOUB HAMMODEH (O.D.) – Optometrist, NPI 1427462225

JACOUB HAMMODEH (O.D.) is a healthcare provider. based in San antonio, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 8494TG (TX). The NPI Number for JACOUB HAMMODEH (O.D.) is 1427462225

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JACOUB HAMMODEH (O.D.)
NPI
1427462225
Phone
(210) 225-4141
Address
2903 N SAINT MARYS ST
Enumeration Date
19 June 2014
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
9722999988
Graduation Year
2014 (12 years ago)
PAC ID
8426270562
Group Practice PAC ID
8527041326
Professional Enrollment ID
I20141105001775
Address ID
TX751040000CE305XXFMXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for JACOUB HAMMODEH (O.D.)

  • 2903 N SAINT MARYS ST

    SAN ANTONIO, TX 782123532

    Phone: (210) 225-4141

    Fax: (210) 229-9400

    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 28 Open Payments records for all available years, with a total value of $718.

Total Amount is formed as General ($718) + Research ($0) + Ownership ($0) = $718.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($337).

Total Amount

$718

General + Research + Ownership

Payments

28

Total payment records

General Amount

$718

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2014-11-05

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
I20141105001775IOptometryTXTBD

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
92134Imaging of retina205173$0
99214Established patient office or other outpatient visit, 30-39 minutes164154$0
99213Established patient office or other outpatient visit, 20-29 minutes12590$0
83861Microfluid analysis of tears12048$0
92012Established patient problem focused exam of visual system10383$0
View full utilization report →

Insurance plans in this area (ZIP 78212)

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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: 8527041326View full group profile
NameSpecialtyState
O P T O M E T R YPA
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
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 YAR
O P T O M E T R YGA

Reviews

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Frequently asked questions

What number should I use to identify JACOUB HAMMODEH (O.D.) for billing?
Administrative and clinical systems typically use NPI 1427462225 for JACOUB HAMMODEH (O.D.).
Should I treat JACOUB HAMMODEH (O.D.) as an active provider?
Patients and plans typically see JACOUB HAMMODEH (O.D.) as active in the national extract.
What does the directory say JACOUB HAMMODEH (O.D.) does?
Insurance directories may phrase it differently, but here JACOUB HAMMODEH (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to JACOUB HAMMODEH (O.D.)?
The directory associates JACOUB HAMMODEH (O.D.) with San Antonio, Texas. Check all listed addresses for suites or satellite offices.
Can I export JACOUB HAMMODEH (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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