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ODESSA VISION CENTER PLLC
NPI 1578747275
Optometrist in Odessa, TX

Active since December 18, 2007
4015 PENBROOK ST, ODESSA, TX 79762(432) 362-3133(432) 362-4818 Get Directions Write a Review

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

Record update history: Jul 22, 2024, Oct 12, 2021, Jan 22, 2020 (3 updates tracked since 2020).

About Odessa Vision Center Pllc NPPES

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

ODESSA VISION CENTER PLLC (NPI 1578747275), doing business as Odessa Vision Center, is a healthcare organization registered as an optometrist in Odessa, Texas and active in the NPI registry since December 2007. The organization lists Justin Jackman, President, as its authorized official.

NPPES Registry Identity

NPI1578747275
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameODESSA VISION CENTER PLLC
Location Address4015 PENBROOK STOdessa, TX 79762-5917
Mailing Address4015 Penbrook StOdessa, TX 79762-5917 · (432) 362-3133 · Fax (432) 362-4818
Phone(432) 362-3133
Fax(432) 362-4818
Organization SubpartNo
Authorized OfficialJustin JackmanPresident · (432) 362-3133
Enumeration DateDecember 18, 2007
Last NPPES UpdateJanuary 30, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
✔ NPI 1578747275 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 · 2713-TG
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.
4015 PENBROOK ST, Odessa, TX 79762
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Other Names 2

Doing Business AsOdessa Vision Center
Former Legal Business NameDonald L Hembree Od Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odessa Vision Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Odessa Vision Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Haleigh Shelton, OD
Optometry
NPI 1487584249
4015 PENBROOK ST
Odessa, TX 79762
(432) 362-3133
✔ PECOSSame address
Justin Jackman, OD
Optometry
NPI 1982046967
4015 PENBROOK ST
Odessa, TX 79762
(432) 362-3133
✔ PECOS✔ Accepts MedicareSame address
Adaly Ramos, OD
Optometry
NPI 1841894698
3863 E 42ND ST
Odessa, TX 79762
(432) 363-9974
✔ PECOS0.2 mi

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

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 Odessa Vision Center PLLC's NPI number?

The NPI number for Odessa Vision Center PLLC is 1578747275. It was assigned to this organization in the NPPES registry on December 18, 2007. The provider is doing business as Odessa Vision Center. The provider was formerly known as Donald L Hembree Od PC.

Where is Odessa Vision Center PLLC located?

Odessa Vision Center PLLC is located at 4015 Penbrook St, Odessa, TX 79762. The listed phone number is (432) 362-3133.

What is Odessa Vision Center PLLC's specialty?

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

Is Odessa Vision Center PLLC enrolled in Medicare?

Yes. Odessa Vision Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Odessa Vision Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Odessa Vision Center PLLC. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Odessa Vision Center PLLC was last updated on January 30, 2025. 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.