NPI 1003820051

Laurel a Jordan, OD

Practitioner Optometrist Ashland, VA

Practice location

Address: 301 N Washington Hwy Suite 102, Ashland, VA 23005-1650
Phone: (804) 798-3306
Fax: (804) 798-3617
Mailing address: 301 N. Washington Hwy Suite 102, Ashland, VA 23005

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618001037 (VA)

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Registry record

NPI: 1003820051
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2006
Record last updated: 6 Jun 2012

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.