Earl Lawrence Jordan in Joplin - Ophthalmology
Earl Lawrence Jordan - NPI 1750463469
Earl Lawrence Jordan is a Ophthalmology in Joplin, Missouri. Earl Lawrence Jordan practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Earl Lawrence Jordan is 1750463469. The last update date is 2015-02-23.
Earl Lawrence Jordan's current location address is 2630 Cunningham Ave, Joplin, Missouri. You can contact this provider via phone number 4177810044 and fax number 4177816331. The mailing address for Earl Lawrence Jordan is 2630 Cunningham Ave, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earl Lawrence Jordan |
|---|---|
| Address | 2630 Cunningham Ave, Joplin, Missouri |
| Phone Number | 4177810044 |
| Fax Number | 4177816331 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1750463469 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2015-02-23 |
Provider Mailing Address Detail
| Address | 2630 Cunningham Ave |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648041542 |
| Phone Number | 4177810044 |
| Fax Number | 4177816331 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | R7D82 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 106030 | KS | BLUE CROSS/BLUE SHIELD | |
| 180027096 | MO | RAILROAD MEDICARE | |
| 241986504 | MO | -- | |
| 100229750B | KS | -- | |
| 100229750C | KS | -- | |
| 180027097 | KS | RAILROAD MEDICARE | |
| 100026260A | OK | -- |
Post Comment/ Review Below
What is the Earl Lawrence Jordan's unique identification number?
The Earl Lawrence Jordan has been assigned the NPI (National Provider Identifier) Number 1750463469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Earl Lawrence Jordan's facilities are situated?
The facilities of Earl Lawrence Jordan are physically located at the following address: 2630 Cunningham Ave, Joplin, MO, 648041542.
What is Earl Lawrence Jordan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Earl Lawrence Jordan's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Earl Lawrence Jordan receive the assignment of its 1750463469 from the Centers for Medicare & Medicaid Services?
The Earl Lawrence Jordan was issued its 1750463469 by the Centers for Medicare & Medicaid Services on 2006-10-20.
When was the information related to Earl Lawrence Jordan most recently updated or refreshed?
The details pertaining to the Earl Lawrence Jordan, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-02-23.