Jacob B. Leet, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4042 Issued in AR

Practice address

2300 SE J St
Bentonville, AR 72712-3776

Phone

(479) 268-3268

Fax

(479) 268-4019

NPI assigned

Jun 2, 2016

Sex

Male

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 MO, TN, AR3 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 3

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bentonville Eye Care PLLCGroup PAC ID 3476899030, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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.

• Bentonville Eye Care PLLC

  • Optometrist
  • Bentonville, AR
  • NPI 1083984116
  Medicare reassignment Care Compare group NPD
• Gregory S. Leet, O.D., P.C.

  • Optometrist
  • Cape Girardeau, MO
  • NPI 1881734804
  Medicare reassignment NPD
• Tennessee Vision Partners PLLC

  • Optometrist
  • Jackson, TN
  • NPI 1902317381
  Medicare reassignment NPD
• Carol P. Lagrange, O.D., P.C.

  • Optometrist
  • Jackson, TN
  • NPI 1972520807
  NPD
• Nto Denton, PLLC

  • Optometrist
  • Denton, TX
  • NPI 1750731253
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1376991117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SE J ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123776",
            "telephone_number": "479-268-3268",
            "fax_number": "479-268-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SE J ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123776",
            "telephone_number": "479-268-3268",
            "fax_number": "479-268-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEET",
        "first_name": "JACOB",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "4042",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2016017803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ledbetter
• Chad Lee, MHPP
• Drake David Lee
• Gao Yee Lee
• Kenneth Lee
• Legacy Village Greenhouse Corp
• Shelby Leigh
• John Leimberg, MHPP
• Katherine Nicole Leis, LAC
• Amy Jane Lenz

• Optometrist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.