NPI 1124374426

Jordan Scott Ewert, OD

Practitioner Optometrist Shawnee, OK

Practice location

Address: 2109 N Kickapoo Ave, Shawnee, OK 74804-2732
Phone: (405) 275-2020
Fax: (405) 275-4129

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2728 (OK)

Other Optometrist providers in Oklahoma →

Registry record

NPI: 1124374426
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2012
Record last updated: 19 Oct 2016

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.