Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN EARL, OD
ActiveJORDAN EARL, OD is a Optometrist healthcare provider located in OTHELLO, Washington. NPI 1396587200 is currently active in the NPPES registry. Verify at CMS.
Optometrist · OTHELLO, WA
Registration Details
- NPI Number
- 1396587200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2024 (2.2149729888023 yrs)
- Last Updated
- Jun 11, 2024
- License
-
OD61571780 (WA)
Practice Information
- Address
-
1515 E COLUMBIA STOTHELLO, WA, 993441846Browse WA providers · Browse ZIP 99344
- Phone
- 5094885256
- Fax
- 5094889939
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in OTHELLO, WA
| Name | Credential | NPI |
|---|---|---|
| JASON M BLEAZARD | O.D. | 1467734889 |
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.