Jordan E Jin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60962143 Issued in WA

Practice address

14700 NE 8TH St Ste 105
Bellevue, WA 98007-4115

Phone

(425) 746-2122

Fax

(206) 624-0463

NPI assigned

Jun 8, 2019

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 WA

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

Illinois College of Optometry at Chicago, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Stephen Nevett and Associates PCGroup PAC ID 0648468975, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordanjin@bellevuelasik.emadirect.md
• Direct secure messaging: jordanjin@sharpevision.emadirect.md

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.

• Dr. Stephen Nevett and Associates, P.C.

  • Health Service Clinic/Center
  • Seattle, WA
  • NPI 1619287240

  Optometrist

  Medicare reassignment Care Compare group NPD
• Seattle Vision Clinic Inc

  • Optometrist
  • Seattle, WA
  • NPI 1518955202
  Medicare reassignment NPD
• Benson Vision Source, Inc.

  • Optometrist
  • Kent, WA
  • NPI 1679601512
  NPD
• Vision Care Center, PLLC

  • Optometrist
  • Bellevue, WA
  • NPI 1306337506
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1659930170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 NE 8TH ST STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074115",
            "telephone_number": "425-746-2122",
            "fax_number": "206-624-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 NE 8TH ST STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074115",
            "telephone_number": "425-746-2122",
            "fax_number": "206-624-0463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042928",
            "country_code": "US",
            "telephone_number": "206-623-1100",
            "fax_number": "206-624-0463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIN",
        "first_name": "JORDAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-08",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60962143",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60962143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Victoria Jimenez, DPT
• Pedro Jimenez
• Samantha Jimenez, PSY.D.
• Azalech Jimma, NURSE
• Jimmy Yun & Susan Kim, DDS, PS
• Junmei Jin
• Yingshan Jin
• Ziyu Jin
• Jin'S Acupuncture Clinic Corp
• Jacquelyn Jinhong, RN

• Optometrist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.