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Contact Information

DAVID L JORDAN, OD
2601 JEWELLA
SHREVEPORT, LA71109
 Phone: 318-631-5511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID L JORDAN · (Male)

NPI Number 1730143371
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/12/2006
Last updated 11/22/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 8931017
  • LA Medicaid 1314561
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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