DR. KEVIN SEAN JACOB O.D.
NPI 1124173521
Optometrist in Dry Ridge, KY

Q: What is Kevin Jacob's NPI number?

The NPI number for Kevin Jacob is 1124173521. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Kevin Jacob's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Jacob was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment

20 FERGUSON BLVD, DRY RIDGE, KY 41035(859) 824-1333 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kevin Sean Jacob O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN SEAN JACOB O.D. (NPI 1124173521) is an individual optometrist in Dry Ridge, Kentucky, licensed in Kentucky (1458DT) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Florence, and is a graduate of Indiana University - School Of Optometry (1997).

NPPES Registry Identity

NPI1124173521

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KEVIN SEAN JACOBCredential: O.D.

Location Address20 FERGUSON BLVDDry Ridge, KY 41035-8635

Mailing Address9100 Brantley WayFlorence, KY 41042-8684 · (859) 384-7646

Phone(859) 824-1333

Sole ProprietorYes

Medical School CMSIndiana University - School Of OptometryGraduated 1997

Enumeration DateJanuary 24, 2007

Last NPPES UpdateNovember 4, 2019

✔ NPI 1124173521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in KY · 1458DT

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

20 FERGUSON BLVD, Dry Ridge, KY 41035

Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Heights BlvdFlorence, KY 41042-1415 · Phone (859) 568-7015 · Fax (859) 568-7016

Other Identifiers 3

Other000000255312KY · Anthem

Medicaid77001535KY

Other000001186679KY · Cha

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Sean Jacob O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062548076

PECOS Enrollment IDI20100330000189

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA LERAE NARANJO PHARMD

Pharmacist