ISAIAH JORDAN (OD) – Optometrist, NPI 1801414925

ISAIAH JORDAN (OD) is a healthcare provider. based in Blacklick, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.006913 (OH). The NPI Number for ISAIAH JORDAN (OD) is 1801414925

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ISAIAH JORDAN (OD)
NPI
1801414925
Phone
Not provided
Address
253 PINEY CREEK DR
Enumeration Date
7 July 2020
Last Update Date
12 May 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3308212020
Graduation Year
2020 (6 years ago)
PAC ID
7719396068
Group Practice PAC ID
0749504165
Professional Enrollment ID
I20210517002614
Address ID
OH446014349AL1650XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for ISAIAH JORDAN (OD)

  • 253 PINEY CREEK DR

    BLACKLICK, OH 430047071

    Phone:

    Type: Mailing

  • 17273 OH-104

    CHILLICOTHE, OH 45601

    Phone: (614) 558-1519

    Type: Location

  • 3785 S High St

    Columbus, OH 432074011

    Phone: (614) 491-3435

    Fax: (614) 491-1699

    Type: Location

  • PO BOX 207170

    DALLAS, TX 753207071

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $387.

Total Amount is formed as General ($387) + Research ($0) + Ownership ($0) = $387.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($233).

Total Amount

$387

General + Research + Ownership

Payments

5

Total payment records

General Amount

$387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-05-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210517002614IOptometryOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2121$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 43004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749504165View full group profile

Reviews

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Frequently asked questions

Where can patients find ISAIAH JORDAN (OD)'s NPI?
You can confirm ISAIAH JORDAN (OD) with NPI 1801414925; it appears in the national provider directory.
Is ISAIAH JORDAN (OD) active in the national directory?
ISAIAH JORDAN (OD)'s public NPI profile is in an active state.
Does ISAIAH JORDAN (OD) list a primary specialty?
If you are matching referrals, note Optometrist for ISAIAH JORDAN (OD). Clinical services aligned with this taxonomy classification.
What location shows for ISAIAH JORDAN (OD)?
We surface Blacklick, Ohio for ISAIAH JORDAN (OD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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