Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLIVIA JACOBS
NPI 1790631885
Optometrist in Louisville, KY

Active since March 10, 2026PECOS Enrolled
1935 BLUEGRASS AVE STE 200, LOUISVILLE, KY 40215(502) 364-0033(502) 361-4488 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 29, 2026, Jul 20, 2026, Jul 6, 2026 and 1 more (4 updates tracked since 2026).

About Olivia Jacobs NPPES

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

OLIVIA JACOBS (NPI 1790631885) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (2476DT) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1790631885
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameOLIVIA JACOBS
Location Address1935 BLUEGRASS AVE STE 200Louisville, KY 40215-1181
Mailing AddressPo Box 736502Chicago, IL 60673-1408 · (800) 477-0025 · Fax (502) 361-4488
Fax(502) 361-4488
Sole ProprietorYes
Enumeration DateMarch 10, 2026
Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1790631885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in KY · 2476DT Licensed in IN · 18004681A
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.
1935 BLUEGRASS AVE STE 200, Louisville, KY 40215

Secondary Practice Locations 7

Location 14010 DuPont Cir Ste 380Louisville, KY 40207-4881 · Phone (502) 895-0040
Location 26905B Burlington PikeFlorence, KY 41042-1618 · Phone (859) 282-9999
Location 373 Quartermaster CtJeffersonville, IN 47130-3623 · Phone (812) 284-0077
Location 4519 State StNew Albany, IN 47150-3620 · Phone (800) 342-5393
Location 59200 Leesgate RdLouisville, KY 40222-5173 · Phone (502) 895-0040
Location 66400 Westwind WayCrestwood, KY 40014-6773 · Phone (502) 243-2227
Location 71000 Johnstown Rd Ste 102Elizabethtown, KY 42701-3925 · Phone (270) 769-0099

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olivia Jacobs 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 40215 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 5

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

Optometrist
1935 BLUEGRASS AVE STE 200
LOUISVILLE, KY 40215
Ophthalmology
1935 BLUEGRASS AVE STE 200
LOUISVILLE, KY 40215
Optometrist
1935 BLUEGRASS AVE STE 200
LOUISVILLE, KY 40215
Ophthalmology
1935 BLUEGRASS AVE STE 200
LOUISVILLE, KY 40215
Optometrist
1935 BLUEGRASS AVE STE 200
LOUISVILLE, KY 40215

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 Olivia Jacobs's NPI number?

The NPI number for Olivia Jacobs is 1790631885. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Olivia Jacobs located?

Olivia Jacobs practices at 1935 Bluegrass Ave Ste 200, Louisville, KY 40215. The listed phone number is (502) 364-0033.

What is Olivia Jacobs's specialty?

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

Is Olivia Jacobs enrolled in Medicare?

Yes. Olivia Jacobs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Jacobs was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.