LISA JORDAN (O.D.) – Optometrist, NPI 1669453320
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
851 OPTOMETRY in CO
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Provider Addresses for LISA JORDAN (O.D.)
4, Garden Center, Broomfield, Colorado, 80020, United States
STE 100
BROOMFIELD, CO 800207026
Phone: (303) 469-1941
Fax: (303) 469-6634
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 9 Open Payments records for all available years, with a total value of $629.
Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($337).
Total Amount
$629
General + Research + Ownership
Payments
9
Total payment records
General Amount
$629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $337 |
| Astellas Pharma US Inc | $118 |
| CooperVision Inc. | $117 |
| Alcon Vision LLC | $57 |
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: 2005-11-17
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 |
|---|---|---|---|---|
| I20051117000381 | I | Optometry | CO | 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 |
|---|---|---|---|---|
| 92136 | Measurement of corneal curvature and depth of eye | 78 | 77 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
| 92004 | New patient complete exam of visual system | 38 | 38 | $0 |
| 92014 | Established patient complete exam of visual system | 30 | 30 | $0 |
| 92025 | Ct scan of cornea | 27 | 27 | $0 |
Insurance plans in this area (ZIP 80020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO | |
| - | CO | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | CA | |
| - | FL |
Reviews
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