Individual provider Active NPI

Jessica Ann Jackson, O.D.

  • Optometrist
  • Selma, TX
National Provider Identifier
1225578180
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10738T Issued in TX
Practice address
8222 Agora Pkwy Ste 116a
Selma, TX 78154-1319
Phone
(210) 659-1479
Fax
(210) 659-1502
NPI assigned
Feb 26, 2017
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10738T TX Primary
Optometrist 152W00000X 3490 MN

Addresses

Primary practice location

8222 Agora Pkwy Ste 116a
Selma, TX 78154-1319

Mailing address

8222 Agora Pkwy Ste 116a
Selma, TX 78154-1319
Phone (210) 659-1479

Other names 1

  • Jessica Ann Bartl Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221122003645 TX Practitioner - Optometry 3678941655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCP Eyecare, PCGroup PAC ID 9234474172, 13 clinicians

Practice addresses (Care Compare)

6035 NW Loop
Suite 410
San Antonio, TX 78238-3301
Phone (210) 520-0335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3490MNMDOptometrist
743NDMDOptometrist
10738TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
RCP Eyecare, PC Optometrist CurrentSince Aug 31, 2022 Accepting new patients

Locations

15900 La Cantera Pkwy
Ste 9915
San Antonio, TX 78256
Phone (210) 641-2405

6035 NW Loop 410
San Antonio, TX 78238
Phone (210) 520-0335

8222 Agora Pkwy
Ste 116
Selma, TX 78154
Phone (210) 657-6270

8222 Agora Pkwy
Ste 116A
Selma, TX 78154
Phone (210) 659-1479

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1225578180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 AGORA PKWY STE 116A",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781541319",
            "telephone_number": "210-659-1479",
            "fax_number": "210-659-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 AGORA PKWY STE 116A",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781541319",
            "telephone_number": "210-659-1479",
            "fax_number": "210-659-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-26",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10738T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BARTL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Selma, TX

Sources for this page

Verify at the official NPI Registry.