NPI 1003917956

Randall W Jordan, OD

Practitioner Optometrist Cordele, GA

Practice location

Address: 1107 E South Greer Street, Cordele, GA 31015
Phone: (229) 273-0018
Fax: (229) 273-0102
Mailing address: PO Box 5103, Cordele, GA 31010-5103

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1192 (GA)

Other Optometrist providers in Georgia →

Registry record

NPI: 1003917956
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2006
Record last updated: 8 Jul 2007

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.