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JACK WAYNE ROUNTREE JR. OD
NPI 1154517761
Optometrist in San Antonio, TX

Active since September 18, 2007PECOS Enrolled
5025 NW LOOP 410, SAN ANTONIO, TX 78229(210) 520-0051 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Wayne Rountree Jr. Od NPPES

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

JACK WAYNE ROUNTREE JR. OD (NPI 1154517761) is an individual optometrist in San Antonio, Texas, licensed in Texas (7076TG) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154517761
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJACK WAYNE ROUNTREE JR.Credential: OD
Location Address5025 NW LOOP 410San Antonio, TX 78229-5313
Mailing Address10792 Oakland RdSan Antonio, TX 78240-2025 · (210) 520-0051
Phone(210) 520-0051
Sole ProprietorYes
Enumeration DateSeptember 18, 2007
Last NPPES UpdateApril 30, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1154517761 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 TX · 7076TG
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.
5025 NW LOOP 410, San Antonio, TX 78229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Wayne Rountree Jr. Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 8

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

EYECARE OF TEXAS PC
Optometrist
5025 NW LOOP 410
SAN ANTONIO, TX 78229
Bexar County (210) 520-0051
WAL-MART STORES TEXAS LLC
Pharmacy (Community/Retail Pharmacy)
5025 NW LOOP 410
SAN ANTONIO, TX 78229
Bexar County (210) 523-1123
DR. CECILIA CRUZ PHARMD
Pharmacist
5025 NW LOOP 410
SAN ANTONIO, TX 78229
Bexar County (210) 523-1123
WAL MART STORES TEXAS LLC
Eyewear Supplier
5025 NW LOOP 410
SAN ANTONIO, TX 78229
Bexar County (210) 523-1091
RAMON MUNOZ GARCIA JR.
Technician/Technologist (Optician)
5025 NW LOOP 410
SAN ANTONIO, TX 78229
Bexar County (210) 527-8851
DHRUVAN PATEL
Pharmacist
5025 NW LOOP 410
SAN ANTONIO, TX 78229
Bexar County (210) 523-1123
NW EYE CENTER
Optometrist
5025 NW LOOP 410
SAN ANTONIO, TX 78229
Bexar County (210) 984-2020
DR. JENIFER ALEJANDRA DAVIS OD
Optometrist
5025 NW LOOP 410
SAN ANTONIO, TX 78229
Bexar County (210) 381-0312

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Rountree's NPI number?

The NPI number for Jack Rountree is 1154517761. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Jack Rountree located?

Jack Rountree practices at 5025 NW Loop 410, San Antonio, TX 78229. The listed phone number is (210) 520-0051.

What is Jack Rountree's specialty?

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

Is Jack Rountree enrolled in Medicare?

Yes. Jack Rountree is registered in the Medicare PECOS enrollment system.

What insurance does Jack Rountree accept?

Health plans from Blue Cross and Blue Shield of Texas list Jack Rountree as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Rountree was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.