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DR. JACOB DANIEL DEWEESE OD
NPI 1699437129
Optometrist in Marietta, GA

Active since October 12, 2021PECOS Enrolled
2200 ROSWELL RD STE 160, MARIETTA, GA 30062(770) 565-6200 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jacob Daniel Deweese Od NPPES

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

DR. JACOB DANIEL DEWEESE OD (NPI 1699437129) is an individual optometrist in Marietta, Georgia, licensed in Georgia (OPT003376) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2021).

NPPES Registry Identity

NPI1699437129
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACOB DANIEL DEWEESECredential: OD
Location Address2200 ROSWELL RD STE 160Marietta, GA 30062-2984
Mailing Address3699 Lenox Rd Ne Apt G47Atlanta, GA 30305-3489 · (317) 607-8930
Phone(770) 565-6200
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2021
Enumeration DateOctober 12, 2021
NPPES CertifiedOctober 12, 2021
✔ NPI 1699437129 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 GA · OPT003376
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.
2200 ROSWELL RD STE 160, Marietta, GA 30062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, 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 (PECOS)

Dr. Jacob Daniel Deweese Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638520174
PECOS Enrollment IDI20240109001583
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

3

Medicare enrollment records show Jacob Deweese reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family First Vision Care Georgia
9.8 mi
Optometrist
10775 ALPHARETTA HWY
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group
NPI 1649881236 (770) 998-9656
Clarkson Optometry Georgia Inc
13 mi
Optometrist
8400 HOLCOMB BRIDGE RD, SUITE 440
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group
NPI 1184802670 (636) 200-4393
Star Optometry Ga LLC
21 mi
Optometrist
5851 S VICKERY
Cumming, GA 30040
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1528944451 (678) 648-5185

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

Areas of Expertise CMS Part B claims 5

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.

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.
73 services73 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.
61 services61 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.
37 services35 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.
27 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30062 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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. SAMANEH SAHAND OD
Optometrist
2200 ROSWELL RD STE 160
MARIETTA, GA 30062
Cobb County (770) 293-0095

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 Jacob Deweese's NPI number?

The NPI number for Jacob Deweese is 1699437129. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is Jacob Deweese located?

Jacob Deweese practices at 2200 Roswell Rd Ste 160, Marietta, GA 30062. The listed phone number is (770) 565-6200.

What is Jacob Deweese's specialty?

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

Is Jacob Deweese enrolled in Medicare?

Yes. Jacob Deweese is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Deweese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Deweese reassigns Medicare benefits to 3 organizations: Family First Vision Care Georgia (Roswell, GA), Clarkson Optometry Georgia Inc (Alpharetta, GA) and Star Optometry Ga LLC (Cumming, GA). 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 Jacob Deweese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Deweese accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 13 other insurers list Jacob Deweese 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 Jacob Deweese was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.