ROLAND JETHRO DEL MUNDO OD
NPI 1851070783
Optometrist in Jacksonville, FL

Q: What is Roland Jethro Del Mundo's NPI number?

The NPI number for Roland Jethro Del Mundo is 1851070783. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Q: What is Roland Jethro Del Mundo's specialty?

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

Active since July 17, 2023PECOS EnrolledAccepts Medicare Assignment

145 HERON BAY RD, JACKSONVILLE, FL 32218(904) 470-6900 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 25, 2026, Jul 28, 2023, Jul 17, 2023 (3 updates tracked since 2023).

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About Roland Jethro Del Mundo Od NPPES

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

ROLAND JETHRO DEL MUNDO OD (NPI 1851070783) is an individual optometrist in Jacksonville, Florida, licensed in California (OPT35492-TLG) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2023).

NPPES Registry Identity

NPI1851070783

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameROLAND JETHRO DEL MUNDOCredential: OD

Location Address145 HERON BAY RDJacksonville, FL 32218-3595

Mailing Address145 Heron Bay RdJacksonville, FL 32218-3595

Phone(904) 470-6900

Sole ProprietorYes

Medical School CMSUniversity Of California - School Of OptometryGraduated 2023

Enumeration DateJuly 17, 2023

Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1851070783 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 CA · OPT35492-TLG

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.

145 HERON BAY RD, Jacksonville, FL 32218

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roland Jethro Del Mundo Od 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 ID8921539891

PECOS Enrollment IDI20250728003118

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

Medicare enrollment records show Roland Jethro Del Mundo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group

2,087 mi

Health Maintenance Organization

4647 ZION AVE
San Diego, CA 92120

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1225060742 (619) 528-5000

Dinh Louie Optometry PLLC

2,457 mi

Optometrist

10990 HARBOR HILL DR
Gig Harbor, WA 98332

Reassigned Medicare billing, Washington enrollment
6 clinicians in this Medicare group

NPI 1982242665 (425) 217-9858

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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 20

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

JOSEPH HAMER PMHNP

Nurse Practitioner (Psychiatric/Mental Health)