Jeffrey Lawrence Jordan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2156 Issued in TN

Practice address

815 E Commerce St
Lewisburg, TN 37091-3515

Phone

(931) 359-4373

Fax

(931) 359-5772

NPI assigned

Feb 14, 2006

Last updated

Oct 1, 2019By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

67.54 of 100Reported as individual

Quality

35.07

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan@aec.eyefinity-direct.com

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.

• Advanced Eyecare Clinic LLC

  • Optometrist
  • Lewisburg, TN
  • NPI 1770625204
  Medicare reassignment NPD Authorized official
• Cool Springs Surgical Associates LLC

  • Ophthalmology Physician
  • Franklin, TN
  • NPI 1932568409
  NPD (past)
• Remke Group PC

  dba Remke Eye Clinic

  • Optometrist
  • Lawrenceburg, TN
  • NPI 1215024666
  NPD (past)
• Vanderbilt University

  dba Vanderbilt Medical Group

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1235154972
  NPD (past)
• Vanderbilt University Medical Center

  dba Vanderbilt Medical Group

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1588638092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913515",
            "telephone_number": "931-359-4373",
            "fax_number": "931-359-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913515",
            "telephone_number": "931-359-4373",
            "fax_number": "931-359-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JEFFREY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725865",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce A Jenkins, D.D.S.
• John Billingsley DC PC (Lewisburg Chiropractic Center)
• Candice Ryesha Johnson, N.A
• Joseph Michael Johnson, PHARM.D.
• Linda Johnson
• Sara Jessica Jowers-Rea, B.S.
• Cynthia Elaine Kelley, APN-BC
• Kenneth J Phelps MD (Kenneth Phelps MD & Associates)
• Michael E. Keny, D.PH
• Wendy Denise Kerr, DOULA

• Optometrist in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.