Jesse S Hicks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3897 Issued in FL

Practice address

1299 N Sumter Blvd
North Port, FL 34286-8021

Phone

(941) 876-4400

Fax

(941) 876-4390

NPI assigned

Feb 14, 2007

Last updated

Apr 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jesse S Hicks OD PA

  dba SeePort Optometry

  • Optometrist
  • North Port, FL
  • NPI 1376686998
  Medicare reassignment NPD
• Tampa Bay Retina, PA

  dba Gulf Coast Retina Center

  • Retina Specialist (Ophthalmology) Physician
  • Sarasota, FL
  • NPI 1518212760
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1801939509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 N SUMTER BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342868021",
            "telephone_number": "941-876-4400",
            "fax_number": "941-876-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 N SUMTER BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342868021",
            "telephone_number": "941-876-4400",
            "fax_number": "941-876-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JESSE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3897",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Hernandez Castro
• Lilian Angelina Hernandez Guillen
• Angelynn Hernandez
• Miranda Hernandez
• Tatiana Herrera Perez
• Patrick W Hilaire
• Schamona Lakeasha Hill
• Debbie Hoang, DO
• Ashley Hobson
• Monika Holic

• Optometrist in North Port, FL
• Providers in North Port, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.