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JENNIFER L. BALO O.D.
NPI 1154704070
Optometrist in Saint Johns, FL

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
3735 LONGLEAF PINE PKWY STE 205, SAINT JOHNS, FL 32259(904) 713-2020(888) 972-2191 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2026, Jun 16, 2018, Oct 19, 2017 and 1 more (4 updates tracked since 2017).

About Jennifer L. Balo O.d. NPPES

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

JENNIFER L. BALO O.D. (NPI 1154704070) is an individual optometrist in Saint Johns, Florida, licensed in Florida (OPC 5274) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Johns, and is a graduate of Illinois College Of Optometry At Chicago (2015).

NPPES Registry Identity

NPI1154704070
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJENNIFER L. BALOCredential: O.D.
Location Address3735 LONGLEAF PINE PKWY STE 205Saint Johns, FL 32259-7484
Mailing Address3735 Longleaf Pine Pkwy Ste 205Saint Johns, FL 32259-7484 · (904) 713-2020 · Fax (888) 972-2191
Phone(904) 713-2020
Fax(888) 972-2191
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateMay 26, 20264 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1154704070 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 FL · OPC 5274
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.
3735 LONGLEAF PINE PKWY STE 205, Saint Johns, FL 32259
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Holcomb Od.

Secondary Practice Location 1

Location 1132 Everest Ln Ste 5Saint Johns, FL 32259-4090 · Phone (904) 713-2020 · Fax (888) 972-2191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer L. Balo 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 ID5597072116
PECOS Enrollment IDI20170711001813
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Balo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dau Family Eye Care, PLLC
5.6 mi
Optometrist
132 EVEREST LN, SUITE 5
Saint Johns, FL 32259
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1245761576 (402) 540-0648
Gulf Coast Optometry, PA
155 mi
Corneal and Contact Management
1725 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 209 clinicians in this Medicare group
NPI 1083859409 (239) 800-1717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Jennifer Balo's NPI number?

The NPI number for Jennifer Balo is 1154704070. It was assigned to this individual provider in the NPPES registry on July 9, 2015. The provider is also known as Jennifer Holcomb Od..

Where is Jennifer Balo located?

Jennifer Balo practices at 3735 Longleaf Pine Pkwy Ste 205, Saint Johns, FL 32259. The listed phone number is (904) 713-2020.

What is Jennifer Balo's specialty?

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

Is Jennifer Balo enrolled in Medicare?

Yes. Jennifer Balo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Balo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Balo reassigns Medicare benefits to 2 organizations: Dau Family Eye Care, PLLC (Saint Johns, FL) and Gulf Coast Optometry, PA (Tampa, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Balo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Balo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 14 other insurers list Jennifer Balo 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 Jennifer Balo was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.