Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL KEVIN JORDAN, LDO
Active Sole ProprietorMICHAEL KEVIN JORDAN, LDO is a Optician, Dispensing healthcare provider located in MIDDLEBURG, Florida. NPI 1063104982 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · MIDDLEBURG, FL
Registration Details
- NPI Number
- 1063104982
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2023 (3.1952795731916 yrs)
- Last Updated
- May 22, 2023
- License
-
DO5422 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1580 BRANAN FIELD RDMIDDLEBURG, FL, 320688427Browse FL providers · Browse ZIP 32068
- Phone
- 9042149102
- Fax
- 9042149054
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in MIDDLEBURG, FL
| Name | Credential | NPI |
|---|---|---|
| NAREISHIA MCCLOUD | LDO | 1538852595 |
| MRS. SUSAN MARIE SMITH | LDO | 1376237412 |
| KIMBLEY BOSWELL | LDO | 1942007570 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.