JORDAN JOHNSON (O.D.) – Optometrist, NPI 1194207662
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
619 OPTOMETRY in AL
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Provider Addresses for JORDAN JOHNSON (O.D.)
2800, Ross Clark Circle, Bel Air, Dothan, Houston County, Alabama, 36301, United States
DOTHAN, AL 363012040
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,408.
Total Amount is formed as General ($1,408) + Research ($0) + Ownership ($0) = $1,408.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($540).
Total Amount
$1,408
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,408
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $540 |
| Glaukos Corporation | $150 |
| ANI Pharmaceuticals, Inc. | $149 |
| CooperVision Inc. | $102 |
| Novartis Pharmaceuticals Corporation | $94 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211130000127 | I | Optometry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 36301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AL | |
| O P H T H A L M O L O G Y | AL | |
| O P H T H A L M O L O G Y | AL | |
| O P H T H A L M O L O G Y | AL | |
| O P H T H A L M O L O G Y | KY | |
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL |
Reviews
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