Cole William Jordan, OD in Detroit, MI - Medicare Optometry Provider

Cole William Jordan, OD is a medicare enrolled "Optometrist" provider in Detroit, Michigan. He went to Ohio State University - College Of Optometry and graduated in 2023 and has 2 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Vision Center Of Canton Pc, Stadium Opticians Inc and his current practice location is 4646 John R St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 576-1000.

Cole William Jordan is licensed to practice in Michigan (license number 4901005693) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1851082309.

Contact Information

	Cole William Jordan, OD
	4646 John R St, Detroit, MI 48201-1916
	(313) 576-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cole William Jordan
Gender	Male
Speciality	Optometry
Experience	2 Years
Location	4646 John R St, Detroit, Michigan
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cole William Jordan attended and graduated from Ohio State University - College Of Optometry in 2023

NPI Data:

NPI Number: 1851082309
Provider Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 7810430725
Enrollment ID: I20240620001480

Medical Identifiers

Medical identifiers for Cole William Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851082309	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901005693 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vision Center Of Canton Pc	6002971538	3
Stadium Opticians Inc	6103815204	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cole William Jordan allows following entities to bill medicare on his behalf.

Provider Name	Stadium Opticians Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245384544 PECOS PAC ID: 6103815204 Enrollment ID: O20040512000179

Provider Name	Vision Center Of Canton Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609047422 PECOS PAC ID: 6002971538 Enrollment ID: O20090218000090

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cole William Jordan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cole William Jordan, OD 7346 N Gulley Rd, Dearborn Heights, MI 48127-3843 Ph: (313) 378-0189	Cole William Jordan, OD 4646 John R St, Detroit, MI 48201-1916 Ph: (313) 576-1000

Reviews and Comments

Optometrist in Detroit, MI

Dr. Robert Fredrick Lee Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15157 Gratiot Ave, Detroit, MI 48205 Phone: 313-526-7664 Fax: 313-526-2055
Dr. Sura Hassan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700
Dr. Richard Edwin Gay, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19173 Mack Ave, Detroit, MI 48230 Phone: 313-882-7883 Fax: 313-882-5128
Heritage Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2678 E Jefferson Ave, Detroit, MI 48207 Phone: 313-259-6006
Dr. Linda Le, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1301 Orleans St Apt 1705, Detroit, MI 48207 Phone: 248-759-9202
University Physician Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4717 Saint Antoine St, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700
Heritage Optical Center, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19010 Livernois Ave, Detroit, MI 48221 Phone: 313-863-9581

Cole William Jordan, OD - Medicare Optometrist in Detroit, MI