Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JORDAN DELANEY LUMBATIS OD
NPI 1306751979
Optometrist in Charleston, WV

Q: What is Jordan Lumbatis's NPI number?

The NPI number for Jordan Lumbatis is 1306751979. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Q: What is Jordan Lumbatis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Lumbatis was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since August 17, 2026PECOS Enrolled

4202 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 925-4761 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jordan Delaney Lumbatis Od NPPES

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

JORDAN DELANEY LUMBATIS OD (NPI 1306751979) is an individual optometrist in Charleston, West Virginia, licensed in West Virginia (3111) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306751979

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJORDAN DELANEY LUMBATISCredential: OD

Location Address4202 MACCORKLE AVE SECharleston, WV 25304-2502

Mailing Address4202 Maccorkle Ave SeCharleston, WV 25304-2502 · (304) 925-4761

Phone(304) 925-4761

Sole ProprietorNo

Enumeration DateAugust 17, 2026

NPPES CertifiedAugust 17, 2026

✔ NPI 1306751979 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 WV · 3111

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.

4202 MACCORKLE AVE SE, Charleston, WV 25304

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Delaney Lumbatis Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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 4

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

DR. LAURA MARIE SUPPA SAMMONS OD

Optometrist

4202 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4761

MODERNEYES, PLLC

Optometrist

4202 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4761

DR. WILLIAM ALAN RADA O.D.

Optometrist

4202 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4761

WILLIAM ALAN RADA, OD

Optometrist

4202 MACCORKLE AVE SE
CHARLESTON, WV 25304

Kanawha County (304) 925-4761

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 Lumbatis's NPI number?

The NPI number for Jordan Lumbatis is 1306751979. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Jordan Lumbatis located?

Jordan Lumbatis practices at 4202 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 925-4761.

What is Jordan Lumbatis's specialty?

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

Is Jordan Lumbatis enrolled in Medicare?

Yes. Jordan Lumbatis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Lumbatis was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.