MARY ELIZABETH JORDAN-FLICKINGER OD NPI 1003828120

NPI Information

  • NPI: 1003828120
  • Provider Name: MARY ELIZABETH JORDAN-FLICKINGER, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 MIFFLIN AVE
    SCRANTON, PA
    ZIP 18503
  • Phone: (570) 342-3145

Map and Directions

Get Directions

NPI Details

Mary Elizabeth Jordan-flickinger, OD is an optometrist in Scranton, PA with 26 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Mary Elizabeth Jordan-flickinger, OD NPI is 1003828120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 MIFFLIN AVE
SCRANTON, PA
ZIP 18503
Phone: (570) 342-3145
Fax: (570) 344-1309

The NPI 1003828120 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient complete exam of visual system (HCPCS:92004)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Photography of the retina (HCPCS:92250)

The enumeration date for this NPI number is 8/13/2006 and was last updated on 12/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist0EG000412PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001748348MEDICAIDPENNSYLVANIA
2JO461605OTHERHIGH MARK BLUE SHIELD
352607OTHERGEISINGER HEALTH PLAN
4506554OTHERAETNA
5410039580OTHERRAILROAD MEDICARE
6811745OTHERFIRST PRIORITY HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.