1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Optometrist
  6. NPI Profile

JUSTINA MARIE JACOB OD
NPI 1972165058
Optometrist in Tampa, FL

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
11925 SHELDON RD, TAMPA, FL 33626(727) 581-8760 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2022, Sep 18, 2021, May 20, 2021 (3 updates tracked since 2021).

About Justina Marie Jacob Od NPPES

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

JUSTINA MARIE JACOB OD (NPI 1972165058) is an individual optometrist in Tampa, Florida, licensed in Florida (OPC5903) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pennsylvania College Of Optometry (2019).

NPPES Registry Identity

NPI1972165058
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJUSTINA MARIE JACOBCredential: OD
Location Address11925 SHELDON RDTampa, FL 33626-3644
Mailing Address1225 W Bay DrLargo, FL 33770-2203 · (727) 581-8706
Phone(727) 581-8760
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2019
Enumeration DateJune 28, 2019
Last NPPES UpdateFebruary 14, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1972165058 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 FL · OPC5903✔ Licensed in FL · OPC005903
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.
11925 SHELDON RD, Tampa, FL 33626
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13220 N McMullen Booth RdClearwater, FL 33761-2012 · Phone (727) 581-8706
Location 2501 N Howard Ave Ste 100Tampa, FL 33606-1213 · Phone (727) 581-8706

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justina Marie Jacob 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 ID7012248842
PECOS Enrollment IDI20210513000613
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 8

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
90 services90 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.
89 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services86 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
24 services24 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services22 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33626 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.

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 Justina Jacob's NPI number?

The NPI number for Justina Jacob is 1972165058. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Justina Jacob located?

Justina Jacob practices at 11925 Sheldon Rd, Tampa, FL 33626. The listed phone number is (727) 581-8760.

What is Justina Jacob's specialty?

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

Is Justina Jacob enrolled in Medicare?

Yes. Justina 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.

What insurance does Justina Jacob 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 Montana and 6 other insurers list Justina Jacob 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 Justina Jacob was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.