Individual provider Active NPI

Jordan Alexander Reyes, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1396472254
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10635 Issued in TX
Practice address
7415 Southwest Pkwy Ste 300
Austin, TX 78735-8998
Phone
(512) 328-7300
Fax
(512) 328-7302
NPI assigned
Aug 2, 2022
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 10635 TX Primary

Addresses

Primary practice location

7415 Southwest Pkwy Ste 300
Austin, TX 78735-8998

Mailing address

6728 Alderbrook Dr
Denton, TX 76210-0017
Phone (940) 453-9390

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
I20230112002318 TX Practitioner - Optometry 0143690933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, shared by 16 NPIs, 234 clinicians
Lone Star Eye PLLCGroup PAC ID 6305028010, 3 clinicians

Practice addresses (Care Compare)

11645 Angus Rd
Suite 5
Austin, TX 78759-4020
Phone (512) 345-5641

7415 Southwest Pkwy
Suite 300
Austin, TX 78735-8998
Phone (512) 328-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10635TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Oct 12, 2022 Accepting new patients
Westlake Eyecare, PLLC Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Lone Star Eye PLLC Optometrist CurrentSince Oct 20, 2025 Accepting new patients
Med Southwest, PLLC Optometrist PastSince Nov 1, 2025 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

7415 Southwest Pkwy
Bldg 6
Austin, TX 78735
Phone (512) 328-7300

7415 Southwest Pkwy
Ste 300
Austin, TX 78735
Phone (512) 328-7300

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

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

23701 Cinco Ranch Blvd
Ste 170
Katy, TX 77494
Phone (281) 347-3937

4613 Bee Caves Rd
Ste 201
West Lake Hills, TX 78746
Phone (512) 347-0700

Organizations & group practices 5

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1396472254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 ALDERBROOK DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100017",
            "telephone_number": "940-453-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 SOUTHWEST PKWY STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358998",
            "telephone_number": "512-328-7300",
            "fax_number": "512-328-7302"
        }
    ],
    "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": "REYES",
        "first_name": "JORDAN",
        "middle_name": "ALEXANDER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.