Active NPI
Jesse S Hicks OD PA
Doing business as SeePort Optometry
- Optometrist
- North Port, FL
National Provider Identifier
1376686998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JESSE S HICKS OD PA
- Doing business as
- SeePort Optometry
- Practice address
- 1299 N Sumter Blvd
North Port, FL 34286-8021 - Phone
- (941) 876-4400
- Fax
- (941) 876-4390
- NPI assigned
- Feb 14, 2007
- Last updated
- Sep 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annie Hicks, LDO
- Title
- Chief Financial Officer
- Phone
- (813) 270-9277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
1299 N Sumter Blvd
North Port, FL 34286-8021
Mailing address
1299 N Sumter Blvd
North Port, FL 34286-8021
Phone (941) 876-4400
Other names 1
- SeePort Optometry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1299 N Sumter Blvd
North Port, FL 34286
Phone (941) 876-4400
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- North Port, FL
- NPI 1801939509
-
- Optometrist
- Tampa, FL
- NPI 1164565289
-
- Optometrist
- Cornelia, GA
- NPI 1972541738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1376686998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 N SUMTER BLVD",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342868021",
"telephone_number": "941-876-4400",
"fax_number": "941-876-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 N SUMTER BLVD",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342868021",
"telephone_number": "941-876-4400",
"fax_number": "941-876-4390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSE S HICKS OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2025-09-02",
"certification_date": "2025-04-02",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "ANNIE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "813-270-9277",
"authorized_official_credential": "LDO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SeePort Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.