Jordan Conley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1982DT Issued in KY

Practice address

12504 US Route 60
Ashland, KY 41102-9687

Phone

(606) 929-9432

Fax

(606) 929-9622

NPI assigned

Aug 4, 2015

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 KY

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan G Conley OD LLCGroup PAC ID 8426463159, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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.

• Jordan G Conley OD, LLC

  • Optometrist
  • Ashland, KY
  • NPI 1295336626
  Medicare reassignment Care Compare group NPD Authorized official
• Robert F. Brooks, O.D., P.S.C.

  • Optometrist
  • Greenup, KY
  • NPI 1932316890
  Medicare reassignment
• Tri-State Ophthalmology Associates PSC

  • Ophthalmology Physician
  • Ashland, KY
  • NPI 1245261833

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1376929067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 RIVER HILL DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017387",
            "telephone_number": "606-929-9432",
            "fax_number": "606-929-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12504 US ROUTE 60",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029687",
            "telephone_number": "606-929-9432",
            "fax_number": "606-929-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "JORDAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1982DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Hospice, Inc.
• Community Inclusion LLC
• Community Inclusion LLC
• Heather A Compton, LPCC
• Dannarae Conley, CM
• Morgan Conley
• Shayna L Conley
• Susan Conley, COTA
• Tabatha Coody
• Caitlin Cook

• Optometrist in Ashland, KY
• Providers in Ashland, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.