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DR. JESSE VINCENT DOMINGUEZ O.D.
NPI 1669789814
Optometrist in Somerton, AZ

Active since September 09, 2010PECOS EnrolledAccepts Medicare Assignment
725 E. MAIN ST., SUITE 1C, SOMERTON, AZ 85350(928) 627-4525(928) 627-4524 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jesse Vincent Dominguez O.d. NPPES

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

DR. JESSE VINCENT DOMINGUEZ O.D. (NPI 1669789814) is an individual optometrist in Somerton, Arizona, licensed in Arizona (1210) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2002).

NPPES Registry Identity

NPI1669789814
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JESSE VINCENT DOMINGUEZCredential: O.D.
Location Address725 E. MAIN ST., SUITE 1CSomerton, AZ 85350-0634
Mailing AddressPo Box 634Somerton, AZ 85350-0634 · (928) 627-4525 · Fax (928) 627-4524
Phone(928) 627-4525
Fax(928) 627-4524
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2002
Enumeration DateSeptember 9, 2010
Last NPPES UpdateAugust 14, 2013
✔ NPI 1669789814 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 AZ · 1210
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.
725 E. MAIN ST., Somerton, AZ 85350
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Other Identifiers 1

Medicare PINZ144738AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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 and accepts Medicare assignment

Dr. Jesse Vincent Dominguez O.d. 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 ID8022293547
PECOS Enrollment IDI20110427000588
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 4

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 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.
56 services56 patients
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.
41 services30 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.
13 services13 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85350 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

SOMERTON EYECARE CENTER INC
Optometrist
725 E. MAIN ST., SUITE 1C
SOMERTON, AZ 85350
Yuma County (928) 627-4525
NANCY DE LA VARA
Technician/Technologist (Optician)
725 E. MAIN ST., SUITE 1C
SOMERTON, AZ 85350
Yuma County (928) 627-4525

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 Jesse Dominguez's NPI number?

The NPI number for Jesse Dominguez is 1669789814. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Where is Jesse Dominguez located?

Jesse Dominguez practices at 725 E. Main St. Suite 1C, Somerton, AZ 85350. The listed phone number is (928) 627-4525.

What is Jesse Dominguez's specialty?

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

Is Jesse Dominguez enrolled in Medicare?

Yes. Jesse Dominguez 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.

What insurance does Jesse Dominguez accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Jesse Dominguez 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 Jesse Dominguez was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.