Individual provider Active NPI

Jordan Jamison Pierce, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1992937262
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7417TG Issued in TX
Practice address
5310 N Tarrant Pkwy
Ste 128
Fort Worth, TX 76244-5386
Phone
(817) 514-2114
Fax
(817) 514-2150
NPI assigned
Aug 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7417TG TX Primary

Addresses

Primary practice location

5310 N Tarrant Pkwy
Ste 128
Fort Worth, TX 76244-5386

Mailing address

5310 N Tarrant Pkwy
Ste 128
Fort Worth, TX 76244-5386
Phone (817) 514-2114

Other identifiers 2

IdentifierTypeStateIssuer
208059002MedicaidTX
TXB102635OtherTXMEDICARE PART B PROVIDER

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
I20091116000194 TX Practitioner - Optometry 2567500309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7417TXMDChiropractor
7417TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Eye Associates Optometrist CurrentSince Mar 4, 2022 Accepting new patients

Locations

3924 North Tarrant Pkwy
Fort Worth, TX 76244
Phone (817) 514-2114

7638 Stonebrook Pkwy
Frisco, TX 75034
Phone (972) 712-1010

Interoperability endpoints

  • Direct secure messaging: jordanpierce@direct.eyecare-partners.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1992937262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 N TARRANT PKWY",
            "address_2": "STE 128",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445386",
            "telephone_number": "817-514-2114",
            "fax_number": "817-514-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N TARRANT PKWY",
            "address_2": "STE 128",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445386",
            "telephone_number": "817-514-2114",
            "fax_number": "817-514-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JORDAN",
        "middle_name": "JAMISON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-19",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7417TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208059002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PROVIDER",
            "identifier": "TXB102635",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.