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INESSA JACOBS O.D.
NPI 1609257872
Optometrist in Woodside, NY

Active since June 14, 2015PECOS Enrolled
6108 WOODSIDE AVE, WOODSIDE, NY 11377(718) 505-1700 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Inessa Jacobs O.d. NPPES

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

INESSA JACOBS O.D. (NPI 1609257872) is an individual optometrist in Woodside, New York, licensed in New York (008299) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corona, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609257872
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameINESSA JACOBSCredential: O.D.
Location Address6108 WOODSIDE AVEWoodside, NY 11377-3543
Mailing Address2350 Waters Edge Dr Apt 5iBayside, NY 11360-2208 · (917) 656-2027
Phone(718) 505-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 14, 2015
Last NPPES UpdateMay 10, 2018
✔ NPI 1609257872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NY · 008299✔ Licensed in NY · 56008299
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.
6108 WOODSIDE AVE, Woodside, NY 11377
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Secondary Practice Location 1

Location 110306 Roosevelt AveCorona, NY 11368-2330 · Phone (718) 424-1333

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming 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 (PECOS)

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

PECOS PAC ID5092018408
PECOS Enrollment IDI20160119001657
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 Inessa Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pure Vision Optical 2 LLC
8.1 mi
Optometrist
53 W FORDHAM RD FRNT 4
Bronx, NY 10468
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1164156261 (917) 670-5116
Ahava Medical And Rehabilitation Center, LLC
8.7 mi
Rehabilitation Practitioner
2555 NOSTRAND AVE
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • 279 clinicians in this Medicare group
NPI 1184878274 (718) 951-8800

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 11377 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 Inessa Jacobs's NPI number?

The NPI number for Inessa Jacobs is 1609257872. It was assigned to this individual provider in the NPPES registry on June 14, 2015.

Where is Inessa Jacobs located?

Inessa Jacobs practices at 6108 Woodside Ave, Woodside, NY 11377. The listed phone number is (718) 505-1700.

What is Inessa Jacobs's specialty?

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

Is Inessa Jacobs enrolled in Medicare?

Yes. Inessa Jacobs is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Inessa Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Inessa Jacobs reassigns Medicare benefits to 2 organizations: Pure Vision Optical 2 LLC (Bronx, NY) and Ahava Medical And Rehabilitation Center, LLC (Brooklyn, NY). 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 Inessa Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Inessa Jacobs accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Inessa Jacobs 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 Inessa Jacobs was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.