JACOB MICHAEL BRAY OD
NPI 1730860651
Optometrist in Longview, TX

Q: What is Jacob Bray's NPI number?

The NPI number for Jacob Bray is 1730860651. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Q: What is Jacob Bray'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 Jacob Bray was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 25, 2023PECOS Enrolled

1821 JUDSON RD, LONGVIEW, TX 75605(903) 758-8832(903) 238-8876 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jacob Michael Bray Od NPPES

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

JACOB MICHAEL BRAY OD (NPI 1730860651) is an individual optometrist in Longview, Texas, licensed in Texas (10895T) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730860651

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJACOB MICHAEL BRAYCredential: OD

Location Address1821 JUDSON RDLongview, TX 75605-4710

Mailing Address1821 Judson RdLongview, TX 75605-4710 · (903) 758-8832 · Fax (903) 238-8876

Phone(903) 758-8832

Fax(903) 238-8876

Sole ProprietorNo

Enumeration DateJuly 25, 2023

NPPES CertifiedJuly 25, 2023

✔ NPI 1730860651 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 TX · 10895T

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.

1821 JUDSON RD, Longview, TX 75605

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Secondary Practice Locations 2

Location 1105 Cottage RdCarthage, TX 75633-1507 · Phone (903) 693-7745 · Fax (903) 693-8971

Location 22306 E End Blvd SMarshall, TX 75672-7469 · Phone (903) 938-2555 · Fax (903) 938-1011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Michael Bray 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Bray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ward Eye Associates PC

23 mi

Optometrist

2306 E END BLVD S
Marshall, TX 75672

Reassigned Medicare billing, Texas enrollment
17 clinicians in this Medicare group

NPI 1184208134 (903) 938-2555

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 3

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 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.

19 services18 patients

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.

16 services16 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 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 5

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

JUSTIN CURTIS WARD O.D.

Optometrist