Ravena Sosa Jacob, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10759 Issued in TX

Practice address

3602 W Dallas St
Houston, TX 77019-1704

Phone

(713) 284-8402

Fax

(713) 284-8459

NPI assigned

Dec 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse for the Blind of HoustonGroup PAC ID 2961549811, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ravena.jacob.1@18059.direct.athenahealth.com

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.

• Lighthouse for the Blind of Houston

  • Adult Day Care Clinic/Center
  • Houston, TX
  • NPI 1588878870
  Medicare reassignment Care Compare group NPD
• University of Houston System

  • Optometrist
  • Houston, TX
  • NPI 1861493140
  Medicare reassignment NPD
• University of Houston

  • Community Health Worker
  • Houston, TX
  • NPI 1366081622
  NPD
• University of Houston System

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1447371430
  NPD

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1407567035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 W DALLAS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770191704",
            "telephone_number": "713-527-9561",
            "fax_number": "713-284-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 W DALLAS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770191704",
            "telephone_number": "713-284-8402",
            "fax_number": "713-284-8459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Heights Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770073729",
            "country_code": "US",
            "telephone_number": "713-527-8480",
            "fax_number": "713-865-5471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 North Bypass Hwy 35",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "77511",
            "country_code": "US",
            "telephone_number": "281-756-8900",
            "fax_number": "281-756-8901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "772043069",
            "country_code": "US",
            "telephone_number": "713-743-1921",
            "fax_number": "713-743-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "RAVENA",
        "middle_name": "SOSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "10759",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizy Jacob, OTA
• Manju Chittat Jacob, APRN
• Matteethra Chandy Jacob, M.D.
• Meenu Jacob, MD
• Praisy Jacob
• Reni John Jacob, PHARM. D
• Rhonda Jacob, D.M.D.
• Rhonda F. Jacob, D.D.S.
• Robin Jacob, MD
• Seema Jacob, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.