Jackson Dolce, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11395TG Issued in TX

Practice address

5910 Muela Creek Dr Ste a
Beaumont, TX 77706-1004

Phone

(409) 202-6547

NPI assigned

May 30, 2025

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

Specialty

Optometry

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blount Kimball Medical Optometry PAGroup PAC ID 5597803130, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Blount Kimball Medical Optometry PA

  • Optometrist
  • Beaumont, TX
  • NPI 1194897827
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1295628287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 MUELA CREEK DR STE A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777061004",
            "telephone_number": "409-202-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 MUELA CREEK DR STE A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777061004",
            "telephone_number": "409-202-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLCE",
        "first_name": "JACKSON",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11395TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sue Dobson, OTR
• Doctors Express of the Beaumont Area PA
• Joe Dewayne Dodd Jr., FNP
• Lisa Michelle Doguet, MD
• Mariah Dolbow, COTA/L
• Charles Chester Domingues, M.D.
• Kayla Dominguez, PA
• Dominique J Beaudry MD PA
• Stacy Dominy, APRN, FNP-C
• Denise Lynn Donahue, LPC-A

• Optometrist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.