Active NPI
Jordan Tanous, OD
- Optometrist
- Waco, TX
National Provider Identifier
1801313382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9327T
- Practice address
- 5001 W Waco Dr
Waco, TX 76710-7021 - Phone
- (888) 792-8588
- NPI assigned
- Aug 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9327T | TX | Primary |
Addresses
Primary practice location
5001 W Waco Dr
Waco, TX 76710-7021
Mailing address
5001 W Waco Dr
Waco, TX 76710-7021
Phone (888) 792-8588
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Londonderry Dr
Waco, TX 76712-7902
201 Londonderry Dr
Waco, TX 76712-7931
Phone (254) 772-4499
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.73 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9327T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell E Swann M.D. PA | Current | Accepting new patients |
Locations
201 Londonderry Dr
#O
Waco, TX 76712
Phone (254) 772-4499
201 Londonderry Dr
Waco, TX 76712
Phone (254) 772-4499
Interoperability endpoints
- jtanous@brazoseye.emadirect.md
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Waco, TX
- NPI 1285816850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1801313382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 W WACO DR",
"city": "WACO",
"state": "TX",
"postal_code": "767107021",
"telephone_number": "888-792-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 W WACO DR",
"city": "WACO",
"state": "TX",
"postal_code": "767107021",
"telephone_number": "888-792-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANOUS",
"first_name": "JORDAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-25",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9327T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.