Jacob Michael Bray, OD - Medicare Optometrist in Longview, TX

Jacob Michael Bray, OD is a medicare enrolled "Optometrist" provider in Longview, Texas. His current practice location is 1821 Judson Rd, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 758-8832.

Jacob Michael Bray is licensed to practice in Texas (license number 10895T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730860651.

Contact Information

Jacob Michael Bray, OD
1821 Judson Rd,
Longview, TX 75605-4710
(903) 758-8832
(903) 238-8876

Map and Direction




Healthcare Provider's Profile

Full NameJacob Michael Bray
GenderMale
SpecialityOptometrist
Location1821 Judson Rd, Longview, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730860651
  • Provider Enumeration Date: 07/25/2023
  • Last Update Date: 07/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931556099
  • Enrollment ID: I20231110000843

Medical Identifiers

Medical identifiers for Jacob Michael Bray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730860651NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 10895T (Texas)Primary

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. Jacob Michael Bray allows following entities to bill medicare on his behalf.
Provider NameLongview Eye Associates Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790799773
PECOS PAC ID: 5294832986
Enrollment ID: O20070514000547
Provider NameWard Eye Associates Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184208134
PECOS PAC ID: 7911308283
Enrollment ID: O20210623003523

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. Jacob Michael Bray 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 AddressPractice Location Address
Jacob Michael Bray, OD
1821 Judson Rd,
Longview, TX 75605-4710

Ph: (903) 758-8832
Jacob Michael Bray, OD
1821 Judson Rd,
Longview, TX 75605-4710

Ph: (903) 758-8832

Reviews and Comments


Optometrist in Longview, TX

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Phone: 903-475-1021    Fax: 903-759-2833
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Phone: 903-663-2020    Fax: 903-663-2353
Shannon Lebus, DO
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Phone: 903-234-0771    Fax: 903-234-0775

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.