Individual provider Active NPI

Jeslyn Roy Sabol, O.D.

  • Optometrist
  • San Marcos, TX
National Provider Identifier
1609216282
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8234-T Issued in TX
Practice address
2406 Hunter Rd Ste 102
San Marcos, TX 78666-5256
Phone
(512) 754-6161
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8234-T TX Primary

Addresses

Primary practice location

2406 Hunter Rd Ste 102
San Marcos, TX 78666-5256

Mailing address

2018 Carter LN
New Braunfels, TX 78130-2173
Phone (512) 658-3079

Other practice location 1

747 Highway 71 W Ste A-550
Bastrop, TX 78602-4096
Phone (512) 321-3042

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130919000097 TX Practitioner - Optometry 9931343613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Braunfels Texas State Optical, PLLCGroup PAC ID 0345501730, 3 clinicians
Seguin Texas State Optical, PLLCGroup PAC ID 5991136749, 3 clinicians

Practice addresses (Care Compare)

1705 S Walnut Ave
Suite 100
New Braunfels, TX 78130-1613
Phone (830) 629-1248

515 E Court St
Suite 200
Seguin, TX 78155-5726
Phone (830) 372-1650

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Braunfels Texas State Optical, PLLC. Optometrist CurrentSince Oct 22, 2017 Accepting new patients
Seguin Texas State Optical, PLLC Optometrist CurrentSince Feb 1, 2020 Accepting new patients

Locations

1705 S Walnut Ave
Ste 100
New Braunfels, TX 78130
Phone (830) 629-1248

2406 Hunter Rd
Ste 102
San Marcos, TX 78666
Phone (512) 271-6961

515 E Court St
Ste 200
Seguin, TX 78155
Phone (830) 372-0550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1609216282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 CARTER LN",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302173",
            "telephone_number": "512-658-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 HUNTER RD STE 102",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665256",
            "telephone_number": "512-754-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 Highway 71 W Ste A-550",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786024096",
            "country_code": "US",
            "telephone_number": "512-321-3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABOL",
        "first_name": "JESLYN",
        "middle_name": "ROY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8234-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.