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DR. JESSICA JACOB OD
NPI 1619650827
Optometrist in Orlando, FL

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment
1455 HOLDEN AVE, ORLANDO, FL 32839(407) 855-3100(407) 854-0386 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2023, Aug 14, 2023 (2 updates tracked since 2023).

About Dr. Jessica Jacob Od NPPES

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

DR. JESSICA JACOB OD (NPI 1619650827) is an individual optometrist in Orlando, Florida, licensed in Florida (OPC6312) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2023).

NPPES Registry Identity

NPI1619650827
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JESSICA JACOBCredential: OD
Location Address1455 HOLDEN AVEOrlando, FL 32839-1702
Mailing Address1455 Holden AveOrlando, FL 32839-1702 · (407) 855-3100 · Fax (407) 854-0386
Phone(407) 855-3100
Fax(407) 854-0386
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2023
Enumeration DateAugust 14, 2023
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1619650827 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 FL · OPC6312
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.
1455 HOLDEN AVE, Orlando, FL 32839
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. Jessica Jacob 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 ID1759814759
PECOS Enrollment IDI20241029004477
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 Reassignment

Medicare enrollment records show Jessica Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Filutowski Eye Institute PA
5.2 mi
Clinic/Center
2295 S HIAWASSEE ROAD, SUITE 101
Orlando, FL 32835
  • Reassigned Medicare billing, Florida enrollment
  • 28 clinicians in this Medicare group
NPI 1134290356 (407) 902-2533

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 32839 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 2

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

KYLER CAMPER OD
Optometrist
1455 HOLDEN AVE
ORLANDO, FL 32839
Orange County (407) 855-3100
A. R. COPELY, JR, PA
Clinic/Center (Medical Specialty)
1455 HOLDEN AVE
ORLANDO, FL 32839
Orange County (407) 855-3100

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 Jessica Jacob's NPI number?

The NPI number for Jessica Jacob is 1619650827. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Jessica Jacob located?

Jessica Jacob practices at 1455 Holden Ave, Orlando, FL 32839. The listed phone number is (407) 855-3100.

What is Jessica Jacob's specialty?

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

Is Jessica Jacob enrolled in Medicare?

Yes. Jessica Jacob 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 organization bills Medicare for Jessica Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Jacob reassigns Medicare benefits to Filutowski Eye Institute PA (Orlando, FL). The 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 Jessica Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Jacob accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 11 other insurers list Jessica Jacob 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 Jessica Jacob was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.