David Lee Jordan in Shreveport - Optometrist
David Lee Jordan - NPI 1730143371
David Lee Jordan is a Optometrist in Shreveport, Louisiana. David Lee Jordan practices all healthcare services and medical treatments related to Optometrist. The NPI Number for David Lee Jordan is 1730143371. The last update date is 2013-11-22.
David Lee Jordan's current location address is 2601 Jewella, Shreveport, Louisiana. You can contact this provider via phone number 3186315511. The mailing address for David Lee Jordan is 2601 Jewella, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lee Jordan |
|---|---|
| Address | 2601 Jewella, Shreveport, Louisiana |
| Phone Number | 3186315511 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1730143371 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2013-11-22 |
Provider Mailing Address Detail
| Address | 2601 Jewella |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71109 |
| Phone Number | 3186315511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 8931017 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1314561 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Lee Jordan by the Centers for Medicare & Medicaid Services?
The David Lee Jordan has been assigned the NPI (National Provider Identifier) 1730143371 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where David Lee Jordan is located?
The David Lee Jordan is situated at the following address: 2601 Jewella, Shreveport, LA, 71109.
What is the David Lee Jordan's specialty and taxonomy code?
The David Lee Jordan's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730143371 to David Lee Jordan?
The Centers for Medicare & Medicaid Services assigned the 1730143371 to David Lee Jordan on 2006-04-12.
As of what date was the information regarding David Lee Jordan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Lee Jordan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-11-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY