JACKSON DOLCE OD
NPI 1295628287
Optometrist in Beaumont, TX

Q: What is Jackson Dolce's NPI number?

The NPI number for Jackson Dolce is 1295628287. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Q: What is Jackson Dolce'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 Jackson Dolce was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 30, 2025PECOS EnrolledAccepts Medicare Assignment

5910 MUELA CREEK DR STE A, BEAUMONT, TX 77706(409) 202-6547 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jackson Dolce Od NPPES

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

JACKSON DOLCE OD (NPI 1295628287) is an individual optometrist in Beaumont, Texas, licensed in Texas (11395TG) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1295628287

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJACKSON DOLCECredential: OD

Location Address5910 MUELA CREEK DR STE ABeaumont, TX 77706-1004

Mailing Address5910 Muela Creek Dr Ste ABeaumont, TX 77706-1004 · (409) 202-6547

Phone(409) 202-6547

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 30, 2025

NPPES CertifiedMay 30, 2025

✔ NPI 1295628287 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 · 11395TG

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.

5910 MUELA CREEK DR STE A, Beaumont, TX 77706

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Jackson Dolce Od 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 ID6305348327

PECOS Enrollment IDI20251119003101

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

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

Blount Kimball Medical Optometry PA

0.2 mi

Optometrist

4105 DOWLEN RD STE B
Beaumont, TX 77706

Reassigned Medicare billing, Texas enrollment
7 clinicians in this Medicare group

NPI 1194897827 (409) 899-9999

Vidor Tso PA

9.2 mi

Optometrist

868 N MAIN ST
Vidor, TX 77662

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Vidor Tso P.A.
5 clinicians in this Medicare group

NPI 1669331369 (409) 600-1200

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 77706 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

$124.88 typical visit price

range $54.04 – $164.93

Typical copayment $31.22 (range $13.51 – $41.23)

Most-billed visit code 99204

Established Patient

$67.64 typical visit price

range $17.17 – $134.47

Typical copayment $16.91 (range $4.29 – $33.61)

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 Jackson Dolce's NPI number?

The NPI number for Jackson Dolce is 1295628287. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Where is Jackson Dolce located?

Jackson Dolce practices at 5910 Muela Creek Dr Ste A, Beaumont, TX 77706. The listed phone number is (409) 202-6547.

What is Jackson Dolce's specialty?

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

Is Jackson Dolce enrolled in Medicare?

Yes. Jackson Dolce 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 Jackson Dolce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Dolce reassigns Medicare benefits to 2 organizations: Blount Kimball Medical Optometry PA (Beaumont, TX) and Vidor Tso PA (Vidor, TX). 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 Jackson Dolce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackson Dolce accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 12 other insurers list Jackson Dolce 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 Jackson Dolce was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.