DR. WAYNE ERIC JONES O.D.
NPI 1528030095
Optometrist in Tyler, TX

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
1327 TROUP HWY, TYLER, TX 75701(903) 606-4733(903) 606-5853 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 10, 2017 (3 updates tracked since 2017).

About Dr. Wayne Eric Jones O.d. NPPES

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

DR. WAYNE ERIC JONES O.D. (NPI 1528030095) is an individual optometrist in Tyler, Texas, licensed in Texas (9135) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Fairview Heights.

NPPES Registry Identity

NPI1528030095
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. WAYNE ERIC JONESCredential: O.D.
Location Address1327 TROUP HWYTyler, TX 75701-4443
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Fax(903) 606-5853
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1994
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1528030095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in TX · 9135 Licensed in IL · 046008905
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.
1327 TROUP HWY, Tyler, TX 75701

Secondary Practice Location 1

Location 1314 Fountains Pkwy, Suite DFairview Heights, IL 62208-2165 · Phone (618) 622-3939

Other Identifiers 1

Medicaid046008905 1IL

Accepted 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

Dr. Wayne Eric Jones 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 ID749251981
PECOS Enrollment IDI20170303000588
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 10

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.
232 services232 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
232 services226 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.
113 services65 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
48 services48 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.
36 services36 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.
34 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 20

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

Orthopaedic Surgery
1327 TROUP HWY
TYLER, TX 75701
Clinic/Center
1327 TROUP HWY
TYLER, TX 75701
Internal Medicine (Rheumatology)
1327 TROUP HWY
TYLER, TX 75701
Orthopaedic Surgery
1327 TROUP HWY
TYLER, TX 75701
Orthopaedic Surgery
1327 TROUP HWY
TYLER, TX 75701
Clinic/Center
1327 TROUP HWY, SUITE C
TYLER, TX 75701
Physician Assistant
1327 TROUP HWY
TYLER, TX 75701
Physician Assistant
1327 TROUP HWY
TYLER, TX 75701

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 Wayne Jones's NPI number?

The NPI number for Wayne Jones is 1528030095. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Wayne Jones located?

Wayne Jones practices at 1327 Troup Hwy, Tyler, TX 75701. The listed phone number is (903) 606-4733.

What is Wayne Jones's specialty?

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

Is Wayne Jones enrolled in Medicare?

Yes. Wayne Jones 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 Wayne Jones accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Wayne Jones 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.

Is Wayne Jones affiliated with any hospitals?

According to CMS data, Wayne Jones is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Wayne Jones was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.