Jacob Daniel Lock, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6464 Issued in FL

Practice address

4377 Woodbine Rd
Pace, FL 32571-8792

Phone

(850) 995-4555

Fax

(850) 995-4556

NPI assigned

Jun 3, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Douglas Reynolds OD PAGroup PAC ID 3375584295, 8 clinicians

Douglas Reynolds, O.D. Santa Rosa, P.a.Group PAC ID 7113286451, 6 clinicians

Practice addresses (Care Compare)

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.

• Douglas Reynolds OD PA

  • Optometrist
  • Pensacola, FL
  • NPI 1023164662
  Medicare reassignment Care Compare group NPD
• Douglas Reynolds, O.D. Santa Rosa, P.a.

  • Optometrist
  • Pace, FL
  • NPI 1891207742
  Medicare reassignment Care Compare group NPD
• F & M of Milton Inc

  • Optometrist
  • Milton, FL
  • NPI 1982790341
  NPD (past)
• Owens & Reynolds Inc

  • Optometrist
  • Pensacola, FL
  • NPI 1902128960
  NPD (past)

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1699516898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141441",
            "telephone_number": "850-477-1499",
            "fax_number": "850-479-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4377 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718792",
            "telephone_number": "850-995-4555",
            "fax_number": "850-995-4556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 E Nine Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325141441",
            "country_code": "US",
            "telephone_number": "850-477-1499",
            "fax_number": "850-479-3359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325013303",
            "country_code": "US",
            "telephone_number": "850-912-4222",
            "fax_number": "850-912-4227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2491 S Ferdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325368463",
            "country_code": "US",
            "telephone_number": "850-682-4014",
            "fax_number": "850-682-0387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5560 Stewart St",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325704304",
            "country_code": "US",
            "telephone_number": "850-623-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCK",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lieser, CPNP-PC
• Erin Light
• Erin Lind, DNP, FNP-BC
• Kristen E Lindsey, RBT
• Katie Linville, RDN
• Matthew Lopez, PHARM D
• Sean Lowe
• Victor Scott Lowrimore, M.A.
• Leisa Dianne Ludlam, PH.D
• Nancy C Mackenzie, D.C.

• Optometrist in Pace, FL
• Providers in Pace, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.