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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL WADE JORGENSEN OD LLC

Active Organization

DR. MICHAEL WADE JORGENSEN OD LLC is a Optometrist organization located in BENTON, Louisiana. NPI 1144677899 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BENTON, LA

Registration Details

NPI Number
1144677899
Provider Type
Organization
NPI Issued
May 23, 2016 (10.261088311089 yrs)
Last Updated
May 23, 2016
License
1590623T (LA)

Practice Information

Address
187 BURT BLVD
STE A
BENTON, LA, 710064905
Browse LA providers · Browse ZIP 71006
Phone
3189355080
Fax
3189355085
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.