Jack Wayne Rountree Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7076TG Issued in TX

Practice address

5025 NW Loop 410
San Antonio, TX 78229-5313

Phone

(210) 520-0051

NPI assigned

Sep 18, 2007

Last updated

Apr 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Eyecare of Texas PC

  • Optometrist
  • San Antonio, TX
  • NPI 1033367891
  Authorized official Same address or phone
• Abdep LP

  dba Eye Tx Vision Centers

  • Optometrist
  • San Antonio, TX
  • NPI 1760404388
  NPD (past)
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  NPD (past)
• Dennington Collab

  • Optometrist
  • Fair Oaks Ranch, TX
  • NPI 1750936720
  NPD (past)
• DRS. Bell, Davis, Elder & Assoc

  • Optometrist
  • San Antonio, TX
  • NPI 1982731287
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1154517761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10792 OAKLAND RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402025",
            "telephone_number": "210-520-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295313",
            "telephone_number": "210-520-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNTREE",
        "first_name": "JACK",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7076TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Rottman, PHARM D
• Debra Karin Rotto, M.D.
• Gaston A Rougeaux-Burnes, PSYD
• Kade A Roundy, DMD, MS
• Erika Michelle Rountree
• Jeffrey Scott Rouse, D.D.S.
• Lisa Danielle Rouse, D.D.S.
• Richard G Rouse, M.D.
• Veronica L. Rouse, M.D.
• Kenya P Rouska, LCSW

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.