Jacquelin Escoto Benitez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61291177 Issued in WA

Practice address

215 Lilly Rd NE
Olympia, WA 98506-5030

Phone

(360) 923-4333

Fax

(360) 456-3894

NPI assigned

Aug 1, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

93.08 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.93

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Love PLLC

  • Optometrist
  • Tumwater, WA
  • NPI 1093272841
  Medicare reassignment NPD
• Baybrook Modern Eyecare, P.L.L.C

  • Corneal and Contact Management Optometrist
  • Friendswood, TX
  • NPI 1033649066
  Medicare reassignment NPD
• Douglas R Fingold

  • Optometrist
  • Dickinson, TX
  • NPI 1417215948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1053084343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 RUSHMORE WAY NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-923-4333",
            "fax_number": "360-456-3894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 Wilmington Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "DuPont",
            "state": "WA",
            "postal_code": "983278773",
            "country_code": "US",
            "telephone_number": "253-434-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOTO BENITEZ",
        "first_name": "JACQUELIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10219T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61291177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Ernst, PAC, ATC
• Olya Esary
• Jill Marie Esbeck, MSW, MHP, SWAIC
• Tamiko Escalante, OD
• Curtis Eschels, L.AC.
• Jamie Dawnell Espinoza
• Amanda L Essert, ARNP-FNP
• Kyle Estrella
• Etherton, Inc
• Thomas Lee Etherton, NP-C

• Optometrist in Olympia, WA
• Providers in Olympia, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.