JORDAN D WEBB (OD) – Optometrist, NPI 1275100430

JORDAN D WEBB (OD) is a healthcare provider. based in Perry, Utah. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 123261529934 (UT). The NPI Number for JORDAN D WEBB (OD) is 1275100430

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN D WEBB (OD)
NPI
1275100430
Phone
(801) 660-9284
Address
1770 S 165 W
Enumeration Date
7 June 2021
Last Update Date
7 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702478762
Graduation Year
2021 (5 years ago)
PAC ID
8527464007
Group Practice PAC ID
5193882009
Professional Enrollment ID
I20241022001812
Address ID
CO813036824DU1165XRIOX502
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

312 OPTOMETRY in UT

Provider Addresses for JORDAN D WEBB (OD)

  • 1770 S 165 W

    PERRY, UT 843024908

    Phone: (801) 660-9284

    Type: Mailing

  • 81 N 2000 W STE F1

    WEST POINT, UT 840158777

    Phone: (801) 516-4821

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-22

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
I20241022001812IOptometryCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84302)

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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: 5193882009View full group profile
NameSpecialtyState
-CO
O P T O M E T R YMO

Reviews

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Frequently asked questions

Where can patients find JORDAN D WEBB (OD)'s NPI?
You can confirm JORDAN D WEBB (OD) with NPI 1275100430; it appears in the national provider directory.
Does this profile mean JORDAN D WEBB (OD) is currently active?
Yes — JORDAN D WEBB (OD) appears active in the national provider directory.
What kind of provider is JORDAN D WEBB (OD)?
The page reflects Optometrist for JORDAN D WEBB (OD). Clinical services aligned with this taxonomy classification.
Does JORDAN D WEBB (OD) practice in Utah?
You will see Perry, Utah on file for JORDAN D WEBB (OD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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