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JACK THOMAS HOLDEN
NPI 1487366571
Optometrist in Oxnard, CA

Active since December 20, 2022PECOS Enrolled
1545 W 5TH ST STE 100, OXNARD, CA 93030(805) 382-2020 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Thomas Holden NPPES

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

JACK THOMAS HOLDEN (NPI 1487366571) is an individual optometrist in Oxnard, California, licensed in California (35372) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2022).

NPPES Registry Identity

NPI1487366571
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJACK THOMAS HOLDEN
Location Address1545 W 5TH ST STE 100Oxnard, CA 93030-6510
Mailing Address1545 W 5th St Ste 100Oxnard, CA 93030-6510 · (805) 382-2020
Phone(805) 382-2020
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2022
Enumeration DateDecember 20, 2022
NPPES CertifiedDecember 20, 2022
✔ NPI 1487366571 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 CA · 35372
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.
1545 W 5TH ST STE 100, Oxnard, CA 93030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 Thomas Holden is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658742705
PECOS Enrollment IDI20230127000569
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services18 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.
17 services17 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93030 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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. PATRICK JACOB HOLDEN OD
Optometrist
1545 W 5TH ST STE 100
OXNARD, CA 93030
Ventura County (805) 827-5143

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 Holden's NPI number?

The NPI number for Jack Holden is 1487366571. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Where is Jack Holden located?

Jack Holden practices at 1545 W 5th St Ste 100, Oxnard, CA 93030. The listed phone number is (805) 382-2020.

What is Jack Holden's specialty?

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

Is Jack Holden enrolled in Medicare?

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

What insurance does Jack Holden accept?

Health plans from Providence Health Plan list Jack Holden 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 Holden was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.