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E L JORDAN JR DO PC NPI 1093803660


NPI Information

NPI: 1093803660
Provider Name: E L JORDAN JR DO PC

Doing Business As: JORDAN EYE CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2630 CUNNINGHAM AVE
JOPLIN, MO
ZIP 64804
Phone: (417) 781-0044
Get Directions

E L JORDAN JR DO PC is an ophthalmology in Joplin, MO. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. E L JORDAN JR DO PC NPI is 1093803660. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jordan Eye Center.

The provider's business location address is:

2630 CUNNINGHAM AVE
JOPLIN, MO
ZIP 64804-542
Phone: (417) 781-0044
Fax: (417) 781-6331

The provider's authorized official is Earl Lawrence Jordan .
The authorized official title is President and has the following contact phone number (417) 781-0044.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 1/10/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DG3767OTHERKANSASRAILROAD MEDICARE
2100229750CMEDICAIDKANSAS
3000015481MEDICARE PINMISSOURI
4059024OTHERKANSASBLUE CROSS BLUE SHIELD
5100229750DMEDICAIDMISSOURI
6106677OTHERMISSOURIBLUE CROSS BLUE SHIELD
7DG3737OTHERMISSOURIRAILROAD MEDICARE
8111284MEDICARE PINKANSAS
9505484402MEDICAIDMISSOURI
10100229750BMEDICAIDKANSAS
11200100060AMEDICAIDOKLAHOMA

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: 4/28/2024

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