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JACLYN MAY WRAY O.D.
NPI 1194089060
Optometrist in Longmont, CO

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment
2080 MAIN ST, LONGMONT, CO 80501(303) 651-2020 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaclyn May Wray O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN MAY WRAY O.D. (NPI 1194089060) is an individual optometrist in Longmont, Colorado, licensed in Colorado (2918) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1194089060
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACLYN MAY WRAYCredential: O.D.
Location Address2080 MAIN STLongmont, CO 80501-1916
Mailing Address2832 Sage Creek RdFort Collins, CO 80528-3105 · (510) 292-8101
Phone(303) 651-2020
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 26, 2012
Last NPPES UpdateOctober 24, 2016
✔ NPI 1194089060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · 2918
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2080 MAIN ST, Longmont, CO 80501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn May Wray O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385893312
PECOS Enrollment IDI20121005000430
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
68 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services25 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
16 services15 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA LU OD
Optometrist
2080 MAIN ST
LONGMONT, CO 80501
Boulder County (720) 773-7007
MISS RACHEL AMELIA POTTER O.D.
Optometrist
2080 MAIN ST
LONGMONT, CO 80501
Boulder County (303) 651-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Wray's NPI number?

The NPI number for Jaclyn Wray is 1194089060. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Jaclyn Wray located?

Jaclyn Wray practices at 2080 Main St, Longmont, CO 80501. The listed phone number is (303) 651-2020.

What is Jaclyn Wray's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jaclyn Wray enrolled in Medicare?

Yes. Jaclyn Wray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaclyn Wray accept?

Health plans from Providence Health Plan list Jaclyn Wray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Wray was last updated on October 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.