DR. JACK IBRAHIM OD
NPI 1760978571
Optometrist in Cedar Hill, TX

Q: What is Jack Ibrahim's NPI number?

The NPI number for Jack Ibrahim is 1760978571. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Q: What is Jack Ibrahim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Ibrahim was last updated on July 3, 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.

Active since July 03, 2018PECOS Enrolled

398 E FM 1382, CEDAR HILL, TX 75104(909) 919-6044 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack Ibrahim Od NPPES

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

DR. JACK IBRAHIM OD (NPI 1760978571) is an individual optometrist in Cedar Hill, Texas, licensed in Texas (9518T) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760978571

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JACK IBRAHIMCredential: OD

Location Address398 E FM 1382Cedar Hill, TX 75104-6024

Mailing Address398 E Fm 1382Cedar Hill, TX 75104-6024 · (909) 919-6044

Phone(909) 919-6044

Sole ProprietorNo

Enumeration DateJuly 3, 2018

✔ NPI 1760978571 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 TX · 9518T

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.

398 E FM 1382, Cedar Hill, TX 75104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Jack Ibrahim Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75104 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

EYEMASTERS OF TEXAS LTD

Eyewear Supplier

398 E FM 1382, SUITE A
CEDAR HILL, TX 75104

Dallas County (972) 299-9843

DR. MELISSA LAI TAN HAU O.D.

Optometrist

398 E FM 1382, SUITE A
CEDAR HILL, TX 75104

Dallas County (972) 299-9988

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 Jack Ibrahim's NPI number?

The NPI number for Jack Ibrahim is 1760978571. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Jack Ibrahim located?

Jack Ibrahim practices at 398 E Fm 1382, Cedar Hill, TX 75104. The listed phone number is (909) 919-6044.

What is Jack Ibrahim's specialty?

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

Is Jack Ibrahim enrolled in Medicare?

Yes. Jack Ibrahim is registered in the Medicare PECOS enrollment system.

What insurance does Jack Ibrahim accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan and 1 other insurer list Jack Ibrahim 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 Jack Ibrahim was last updated on July 3, 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.