REBECCA JOURDAN O.D.
NPI 1710331160
Optometrist in Arlington, TX

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment
4605 S COOPER ST, ARLINGTON, TX 76017(817) 557-9595 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 28, 2021, Jun 27, 2017 (2 updates tracked since 2017).

About Rebecca Jourdan O.d. NPPES

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

REBECCA JOURDAN O.D. (NPI 1710331160) is an individual optometrist in Arlington, Texas, licensed in Texas (10079T) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Kittitas Valley Community Hospital, and maintains a secondary practice location in Oak Harbor.

NPPES Registry Identity

NPI1710331160
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameREBECCA JOURDANCredential: O.D.
Location Address4605 S COOPER STArlington, TX 76017-5827
Mailing Address4605 S Cooper StArlington, TX 76017-5827 · (218) 831-5441
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2017
Enumeration DateApril 21, 2016
Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2021
✔ NPI 1710331160 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 · 10079T✔ Licensed in WA · 60764823
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.
4605 S COOPER ST, Arlington, TX 76017

Other Names 1

Former Name (1)Rebecca Claire Lange O.d.

Secondary Practice Location 1

Location 1380 SE Barrington DrOak Harbor, WA 98277-3266 · Phone (360) 675-2235

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

Rebecca Jourdan 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 ID345512562
PECOS Enrollment IDI20170823002842
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rebecca Jourdan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
4605 S COOPER ST
Arlington, TX 76017
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Optometrist
2201 W. DOLARWAY RD., SUITE 2
Ellensburg, WA 98926
  • Reassigned Medicare billing, Washington enrollment
  • 8 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.

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.

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.
396 services373 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.
297 services258 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.
172 services125 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
153 services153 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.
32 services30 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76017 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%32 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Optometrist
4605 S COOPER ST
ARLINGTON, TX 76017
Optometrist
4605 S COOPER ST
ARLINGTON, TX 76017
Optometrist
4605 S COOPER ST
ARLINGTON, TX 76017

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 Rebecca Jourdan's NPI number?

The NPI number for Rebecca Jourdan is 1710331160. It was assigned to this individual provider in the NPPES registry on April 21, 2016. The provider is also known as Rebecca Claire Lange O.D..

Where is Rebecca Jourdan located?

Rebecca Jourdan practices at 4605 S Cooper St, Arlington, TX 76017. The listed phone number is (817) 557-9595.

What is Rebecca Jourdan's specialty?

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

Is Rebecca Jourdan enrolled in Medicare?

Yes. Rebecca Jourdan 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 organizations bill Medicare for Rebecca Jourdan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Jourdan reassigns Medicare benefits to 2 organizations: Vision Expo Group PLLC (Arlington, TX) and Valley Vision Associates, LLP (Ellensburg, WA). Each 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 Rebecca Jourdan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Jourdan accept?

Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Rebecca Jourdan 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 Rebecca Jourdan affiliated with any hospitals?

According to CMS data, Rebecca Jourdan is affiliated with Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Jourdan was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.