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JACOB DANIEL LOCK OD
NPI 1699516898
Optometrist in Pace, FL

Active since June 03, 2024PECOS Enrolled
4377 WOODBINE RD, PACE, FL 32571(850) 995-4555(850) 995-4556 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob Daniel Lock Od NPPES

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

JACOB DANIEL LOCK OD (NPI 1699516898) is an individual optometrist in Pace, Florida, licensed in Florida (OPC6464) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1699516898
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJACOB DANIEL LOCKCredential: OD
Location Address4377 WOODBINE RDPace, FL 32571-8792
Mailing Address460 E Nine Mile RdPensacola, FL 32514-1441 · (850) 477-1499 · Fax (850) 479-3359
Phone(850) 995-4555
Fax(850) 995-4556
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1699516898 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 · OPC6464
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.
4377 WOODBINE RD, Pace, FL 32571
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1800 N 12th AvePensacola, FL 32501-3303 · Phone (850) 912-4222 · Fax (850) 912-4227
Location 2460 E Nine Mile RdPensacola, FL 32514-1441 · Phone (850) 477-1499 · Fax (850) 479-3359
Location 32491 S Ferdon BlvdCrestview, FL 32536-8463 · Phone (850) 682-4014 · Fax (850) 682-0387
Location 45560 Stewart StMilton, FL 32570-4304 · Phone (850) 623-2545

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 (PECOS)

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

PECOS PAC ID5890239602
PECOS Enrollment IDI20240703003702
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 Jacob Lock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Douglas Reynolds, O.D. Santa Rosa, P.A.
Same address
Optometrist
4377 WOODBINE RD
Pace, FL 32571
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1891207742 (850) 995-4555
Douglas Reynolds Od PA
6.3 mi
Optometrist
460 E NINE MILE RD
Pensacola, FL 32514
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1023164662 (850) 477-1499

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 3

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.
21 services21 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.
19 services19 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32571 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

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

DOUGLAS REYNOLDS, O.D. SANTA ROSA, P.A.
Optometrist
4377 WOODBINE RD
PACE, FL 32571
Santa Rosa County (850) 995-4555

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 Lock's NPI number?

The NPI number for Jacob Lock is 1699516898. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Jacob Lock located?

Jacob Lock practices at 4377 Woodbine Rd, Pace, FL 32571. The listed phone number is (850) 995-4555.

What is Jacob Lock's specialty?

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

Is Jacob Lock enrolled in Medicare?

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

Which organizations bill Medicare for Jacob Lock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Lock reassigns Medicare benefits to 2 organizations: Douglas Reynolds, O.D. Santa Rosa, P.A. (Pace, FL) and Douglas Reynolds Od PA (Pensacola, FL). 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 Lock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Lock accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 13 other insurers list Jacob Lock 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 Lock was last updated on June 3, 2024. 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.