JORDAN DAVIDNER (OD) – Optometrist, NPI 1609304484
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,116 OPTOMETRY in MA
Provider Addresses for JORDAN DAVIDNER (OD)
243 Charles St
Boston, MA 021143002
Phone: (617) 523-7900
Type: Location
316 W Main St
Norton, MA 027662100
Phone: (508) 223-5552
Type: Location
196 E Main St
Milford, MA 017572822
Phone: (508) 478-5909
Type: Location
25 MECHANIC ST
FOXBORO, MA 020352011
Phone:
Type: Mailing
Massachusetts Eye and Ear, 243, Charles Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States
BOSTON, MA 02114
Phone: (617) 523-7900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($58).
Total Amount
$75
General + Research + Ownership
Payments
4
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tarsus Pharmaceuticals, Inc. | $58 |
| Johnson & Johnson Vision Care, Inc. | $18 |
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: 2018-06-21
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 |
|---|---|---|---|---|
| I20180621000160 | I | Optometry | MA | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,391 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 94 | $0 |
| 92014 | Established patient complete exam of visual system | 72 | 72 | $0 |
| 92083 | Exam of visual field with extended testing | 57 | 49 | $0 |
| 92133 | Imaging of optic nerve | 48 | 43 | $0 |
Insurance plans in this area (ZIP 02114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MA |
Reviews
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