Individual provider Active NPI

Jacob Scot Romero, OD

  • Optometrist
  • Columbus, NE
National Provider Identifier
1417886029
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1690 Issued in NE
Practice address
3772 43Rd Ave Ste a
Columbus, NE 68601-1681
Phone
(402) 563-3686
NPI assigned
May 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1690 NE Primary

Addresses

Primary practice location

3772 43Rd Ave Ste a
Columbus, NE 68601-1681

Mailing address

1720 SE Murphy Blvd
Joplin, MO 64804-1063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20260530000100 NE Practitioner - Optometry 2466922406

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians, P.C.Group PAC ID 5698863579, shared by 6 NPIs, 8 clinicians

Practice addresses (Care Compare)

3772 43Rd Ave
Columbus, NE 68601-1681
Phone (402) 563-3686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1690NEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1417886029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SE MURPHY BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 43RD AVE STE A",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011681",
            "telephone_number": "402-563-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JACOB",
        "middle_name": "SCOT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.