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JACQUELYN SUGIANTO O.D.
NPI 1326480815
Optometrist in Denton, TX

Active since July 24, 2013PECOS Enrolled
2524 LILLIAN MILLER PKWY STE 100, DENTON, TX 76210(940) 891-0484 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2024, Sep 14, 2022 (2 updates tracked since 2022).

About Jacquelyn Sugianto O.d. NPPES

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

JACQUELYN SUGIANTO O.D. (NPI 1326480815) is an individual optometrist in Denton, Texas, licensed in Texas (8262-T) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2013).

NPPES Registry Identity

NPI1326480815
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACQUELYN SUGIANTOCredential: O.D.
Location Address2524 LILLIAN MILLER PKWY STE 100Denton, TX 76210-7206
Mailing Address2524 Lillian Miller Pkwy Ste 100Denton, TX 76210-7206 · (940) 891-0484 · Fax (940) 383-4700
Phone(940) 891-0484
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2013
Enumeration DateJuly 24, 2013
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1326480815 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 · 8262-T
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.
2524 LILLIAN MILLER PKWY STE 100, Denton, TX 76210
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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 Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Jacquelyn Sugianto O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921242629
PECOS Enrollment IDI20130919000368
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 6

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
42 services38 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
32 services27 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
32 services32 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
20 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
16 services16 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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

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

DR. TUQUYNH NGUYEN DUONG OD
Optometrist
2524 LILLIAN MILLER PKWY STE 100
DENTON, TX 76210
Denton County (940) 891-0484

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 Jacquelyn Sugianto's NPI number?

The NPI number for Jacquelyn Sugianto is 1326480815. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Where is Jacquelyn Sugianto located?

Jacquelyn Sugianto practices at 2524 Lillian Miller Pkwy Ste 100, Denton, TX 76210. The listed phone number is (940) 891-0484.

What is Jacquelyn Sugianto's specialty?

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

Is Jacquelyn Sugianto enrolled in Medicare?

Yes. Jacquelyn Sugianto is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Sugianto accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan and 1 other insurer list Jacquelyn Sugianto 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 Jacquelyn Sugianto was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.