DOUGLAS R JORDAN OD
NPI 1790760197
Optometrist in Mountain Home, AR

Q: What is Douglas Jordan's NPI number?

The NPI number for Douglas Jordan is 1790760197. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Q: What is Douglas Jordan'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 Douglas Jordan was last updated on August 19, 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.

Active since December 08, 2005PECOS Enrolled

2943 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653(870) 424-4900(870) 424-4979 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2021, Apr 12, 2017 (2 updates tracked since 2017).

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About Douglas R Jordan Od NPPES

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

DOUGLAS R JORDAN OD (NPI 1790760197) is an individual optometrist in Mountain Home, Arkansas, licensed in Arkansas (4021) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790760197

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDOUGLAS R JORDANCredential: OD

Location Address2943 HIGHWAY 62 WMountain Home, AR 72653-6535

Mailing AddressPo Box 444Mountain Home, AR 72654-0444 · (870) 424-4900 · Fax (870) 424-4979

Phone(870) 424-4900

Fax(870) 424-4979

Sole ProprietorNo

Enumeration DateDecember 8, 2005

Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration

NPPES CertifiedAugust 19, 2021

✔ NPI 1790760197 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 AR · 4021✔ Licensed in MO · T 03117

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.

2943 HIGHWAY 62 W, Mountain Home, AR 72653

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Other Identifiers 3

Other108285MO · Blue Cross Blue Shield

Medicaid244744722AR

Medicaid316781608MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas R Jordan 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 Douglas Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kilgore Vision Center

Same address

Specialist

2943 HIGHWAY 62 W
Mountain Home, AR 72653

Reassigned Medicare billing, Arkansas enrollment
11 clinicians in this Medicare group

NPI 1447253273 (870) 424-4900

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 72653 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 7

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

DR. GRANT CRIGER OD

Optometrist