DR. TARA LEIGH JORDAN (O.D.) – Optometrist, NPI 1437446432
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
964 OPTOMETRY in GA
Provider Addresses for DR. TARA LEIGH JORDAN (O.D.)
3303 GLYNN AVE
BRUNSWICK, GA 315204406
Phone: (912) 466-9500
Fax: (912) 466-9922
Type: Mailing
3303A GLYNN AVE
BRUNSWICK, GA 315204406
Phone: (912) 466-9500
Fax: (912) 466-9922
Type: Mailing
101 Darling Ave
Waycross, GA 315015219
Phone: (912) 584-0047
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $322.
Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($112).
Total Amount
$322
General + Research + Ownership
Payments
12
Total payment records
General Amount
$322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-12-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20111003000108 | I | Optometry | SC | TBD |
| I20171214001210 | I | Optometry | GA | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 345 | 320 | $0 |
| 92012 | Established patient problem focused exam of visual system | 205 | 143 | $0 |
| 92133 | Imaging of optic nerve | 136 | 108 | $0 |
| 92134 | Imaging of retina | 111 | 102 | $0 |
| 92004 | New patient complete exam of visual system | 63 | 63 | $0 |
Insurance plans in this area (ZIP 31520)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA |
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