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

RANDALL W JORDAN OD PC

Active Organization

RANDALL W JORDAN OD PC is a Optometrist organization located in CORDELE, Georgia. NPI 1811098767 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CORDELE, GA

Registration Details

NPI Number
1811098767
Provider Type
Organization
NPI Issued
Sep 25, 2006 (19.9268730197 yrs)
Last Updated
Aug 30, 2013
License
1192 (GA)

Practice Information

Address
1107 E SOUTH GREER STREET
CORDELE, GA, 31015
Browse GA providers · Browse ZIP 31015
Phone
2292730018
Fax
2292730102
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in CORDELE, GA

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.