Individual provider Active NPI

Jacoub Hammodeh, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1427462225
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8494TG Issued in TX
Practice address
2903 N Saint Marys St
San Antonio, TX 78212-3532
Phone
(210) 347-8191
NPI assigned
Jun 19, 2014
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 8494TG TX Primary

Addresses

Primary practice location

2903 N Saint Marys St
San Antonio, TX 78212-3532

Mailing address

2903 N Saint Marys St
San Antonio, TX 78212-3532
Phone (346) 395-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1519 E 6TH St
Weslaco, TX 78596-6605

165 Sampson
Kyle, TX 78640-4313

19435 Terra Mont
San Antonio, TX 78255-2391

4405 S Shary Rd
Mission, TX 78572-0902

Merit-based Incentive Payment System (MIPS)

Final score
92.93 of 100Reported as group
Quality
90.1
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8494TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Associates of Texas P.a. Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Thurmond Eye Associates, PLLC CurrentSince May 1, 2024 Accepting new patients
William Justus Head MD PA Past Accepting new patients

Locations

130 NW John Jones Dr
Ste 216A
Burleson, TX 76028
Phone (817) 295-0100

305 W FM 1382
Ste 500
Cedar Hill, TX 75104
Phone (972) 293-0373

4800 S Hulen St
Ste 1520
Ft Worth, TX 76132
Phone (817) 292-3977

1519 E 6th St
Weslaco, TX 78596
Phone (956) 968-3171

Interoperability endpoints

  • Direct secure messaging: jacoubhammadeh@eyestx.imwdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1427462225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 N SAINT MARYS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123532",
            "telephone_number": "346-395-5566",
            "fax_number": "210-229-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 N SAINT MARYS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123532",
            "telephone_number": "210-347-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMODEH",
        "first_name": "JACOUB",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8494TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.