Amber Robin Jordon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7562TG Issued in TX

Practice address

5425 S Padre Island Dr
Suite 119B Moore Plaza
Corpus Christi, TX 78411-5301

Phone

(281) 387-9811

NPI assigned

Jul 15, 2010

Sex

Female

Sole proprietor

Yes

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 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

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.

• Walz Vision PA

  • Optometrist
  • Corpus Christi, TX
  • NPI 1417069196
  Medicare reassignment NPD
• Wavefront Eyecare & Optical PA

  • Optometrist
  • Portland, TX
  • NPI 1639460629
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1487967782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 S PADRE ISLAND DR",
            "address_2": "SUITE 119B MOORE PLAZA",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 S PADRE ISLAND DR",
            "address_2": "SUITE 119B MOORE PLAZA",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115301",
            "telephone_number": "281-387-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDON",
        "first_name": "AMBER",
        "middle_name": "ROBIN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7562TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Dale Jones, COTA
• Rebecca Jones
• Stacey Lee Jones
• Steven Charles Jones, CRNA
• Amanda Jordan, APRN-CNP
• Jose de Jesus Trevino Pain Management Center P a
• Jose E Pagan, M.D., P.a.
• Josefina Torres, M.D., P.a.
• Blessing Omoyeni Kikelomo Joseph, MD
• Deana Joseph

• Optometrist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.