Whalio Doctors

NPI 1003489527

Jordan Heath Fleming, OD

Practitioner Optometrist Shawnee, OK

Practice location

Address
2307 Gordon Cooper Dr, Shawnee, OK 74801-9007
Phone
(405) 273-5236
Fax
(405) 878-4835

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3124 (OK)

Registry record

NPI
1003489527
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jul 2021
Record last updated
22 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.