JORDAN JOHNSON O.D.
NPI 1194207662
Optometrist in Dothan, AL
About Jordan Johnson O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN JOHNSON O.D. (NPI 1194207662) is an individual optometrist in Dothan, Alabama, licensed in Alabama (S-E18-TA-B35) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Johnson 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.
Medicare Billing Reassignment
Medicare enrollment records show Jordan Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33647
- Reassigned Medicare billing, Florida enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DOTHAN, AL 36301
DOTHAN, AL 36301
DOTHAN, AL 36301
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 Jordan Johnson's NPI number?
The NPI number for Jordan Johnson is 1194207662. It was assigned to this individual provider in the NPPES registry on August 31, 2018.
Where is Jordan Johnson located?
Jordan Johnson practices at 2800 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 792-2211.
What is Jordan Johnson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jordan Johnson enrolled in Medicare?
Yes. Jordan Johnson 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.
Which organization bills Medicare for Jordan Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Johnson reassigns Medicare benefits to Samuel J Teske Od PA (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Jordan Johnson 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 Jordan Johnson was last updated on August 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jordan Johnson, O.D. · NPI 1194207662
Optometrist provider in Dothan, Alabama. Individual provider, active in the CMS NPPES registry since August 31, 2018.
## Identity
- **NPI:** 1194207662 (Entity type: Individual)
- **Enumerated:** August 31, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** S-E18-TA-B35 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2800 ROSS CLARK CIR, Dothan, AL 36301-2040
- **Phone:** (334) 792-2211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Samuel J Teske Od PA (NPI 1073807962, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University - School Of Optometry, class of 2018
## Record status
- **NPPES last updated:** August 31, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1194207662) · Data from the CMS NPPES public registry.