JAYMI ANN JACOB
NPI 1871263020
Optometrist in Fort Worth, TX

Q: What is Jaymi Jacob's NPI number?

The NPI number for Jaymi Jacob is 1871263020. It was assigned to this individual provider in the NPPES registry on September 19, 2021.

Q: What is Jaymi Jacob'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 Jaymi Jacob was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 19, 2021PECOS EnrolledAccepts Medicare Assignment

9549 SAGE MEADOW TRL, FORT WORTH, TX 76177(469) 441-7713 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2023, Sep 19, 2021 (2 updates tracked since 2021).

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About Jaymi Ann Jacob NPPES

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

JAYMI ANN JACOB (NPI 1871263020) is an individual optometrist in Fort Worth, Texas, licensed in Texas (10434) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of International American University At Puerto Rico - School Of Optometry (2021).

NPPES Registry Identity

NPI1871263020

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJAYMI ANN JACOB

Location Address9549 SAGE MEADOW TRLFort Worth, TX 76177-8595

Mailing Address9549 Sage Meadow TrlFort Worth, TX 76177-8595 · (817) 428-4182

Phone(469) 441-7713

Sole ProprietorNo

Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2021

Enumeration DateSeptember 19, 2021

Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2023

✔ NPI 1871263020 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 · 10434

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.

9549 SAGE MEADOW TRL, Fort Worth, TX 76177

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaymi Ann Jacob 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 ID244603876

PECOS Enrollment IDI20230302000604

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.

Areas of Expertise CMS Part B claims

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.

78 services72 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450015

Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76177 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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 4

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

SRISHTI ATTRI OD

Optometrist

9549 SAGE MEADOW TRL
FORT WORTH, TX 76177

Tarrant County (817) 741-1073

MRS VENTURES LLC

Optometrist

9549 SAGE MEADOW TRL
FORT WORTH, TX 76177

Tarrant County (817) 741-1073

VISIONWORKS, INC.

Eyewear Supplier

9549 SAGE MEADOW TRL
FORT WORTH, TX 76177

Tarrant County (817) 750-0383

EYEMASTERS OF TEXAS LTD

Eyewear Supplier

9549 SAGE MEADOW TRL
FORT WORTH, TX 76177

Tarrant County (817) 750-0383

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 Jaymi Jacob's NPI number?

The NPI number for Jaymi Jacob is 1871263020. It was assigned to this individual provider in the NPPES registry on September 19, 2021.

Where is Jaymi Jacob located?

Jaymi Jacob practices at 9549 Sage Meadow Trl, Fort Worth, TX 76177. The listed phone number is (469) 441-7713.

What is Jaymi Jacob's specialty?

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

Is Jaymi Jacob enrolled in Medicare?

Yes. Jaymi Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jaymi Jacob affiliated with any hospitals?

According to CMS data, Jaymi Jacob is affiliated with Parkland Health & Hospital System.

When was this NPI record last updated?

The NPPES record for Jaymi Jacob was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.