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STEVEN JORDAN
Optician >> Technician/Technologist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1538438619
Individual Registrant: STEVEN JORDAN
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
235 COMMERCIAL BLVD LAUDERDALE BY THE SEA, FL 33308-4452 US
Tel: 954-491-5818 Fax: 954-491-5819
Tel: 954-491-5818 Fax: 954-491-5819
Contact information for business:
235 COMMERCIAL BLVD LAUDERDALE BY THE SEA, FL 33308-4452 US
Tel: 954-491-5818 Fax: 954-491-5819
Tel: 954-491-5818 Fax: 954-491-5819
Registration Information:
NPI: 1538438619
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 156FX1800X | Eye and Vision Services Providers Technician/Technologist Optician | FL | DO3073 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
