DR. DAVID LEE JORDAN (NPI# 1730143371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730143371 |
| Entity Type | Individual |
| Full Name | DR. DAVID LEE JORDAN |
| Credential | OD |
| Practice Address |
2601 Jewella Shreveport LA 71109 |
| Practice Telephone | 3186315511 |
| Mailing Telephone | 3186315511 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2013-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 8931017 | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1314561 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1871022657 | David Joseph Jordan | Massage Therapist | 1903 Bataan Rd Apt 12, Redondo Beach, CA 90278-1316 | 2017-06-06 |
| 1023373016 | David Lawrence Jordan | Home Health Aide | 3799 Clark St, Capitol Heights, MD 20743-5700 | 2012-07-06 |
| 1508018615 | David Mcgrain Jordan II | Dentist | 1724 Broad Ripple Ave., Indianapolis, IN 46220 | 2008-10-21 |
| 1821205147 | David Michael Jordan | Dentist | 3727 Rosewood Dr, Columbia, SC 29205-3531 | 2007-05-17 |
| 1104956788 | David W Jordan | Chiropractor | 9707 Franklin Ave, Franklin Park, IL 60131 | 2007-03-06 |
| 1316097686 | David W Jordan | Occupational Therapist | 220 Danville Corner Rod, Auburn, ME 04210 | 2007-01-11 |
| 1144326067 | David Lee Jordan | Anesthesiology | 1420 Key Hwy Ste 400, Baltimore, MD 21230-5546 | 2006-09-16 |
| 1083684559 | David Willis Jordan | Nurse Anesthetist, Certified Registered | 101 South First Street, Iola, KS 66749 | 2006-01-25 |
| 1528675006 | David Jordan | Counselor | 1612 Genesee St, Utica, NY 13502-5425 | 2020-09-28 |
| Street Address |
2601 JEWELLA |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
| 1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
| 1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
| 1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
| 1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
| 1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
| Find all providers in zip 71109 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225512296 | Daniel & Max LLC | Optometrist | 1655 E Bert Kouns Industrial Loop Ste 100, Shreveport, LA 71105-5726 | 2018-09-17 |
| 1619353786 | Jessica Lantz | Optometrist | 2530 W Bert Kouns Industrial Loop, Shreveport, LA 71118-7111 | 2015-07-30 |
| 1720464878 | Travis Jones | Optometrist | 2530 Bert Kouns Industrial Loop Ste 116, Shreveport, LA 71118-3153 | 2015-07-30 |
| 1053729152 | Bradly Kendall Larson | Optometrist | 8889 Jewella Ave Ste C, Shreveport, LA 71118-2138 | 2014-08-01 |
| 1679876023 | George Michael Bakowski | Optometrist | 1133 Saint Vincent Ave, Ste 120, Box 216, Shreveport, LA 71104-4153 | 2010-12-07 |
| 1871729277 | Amy Elizabeth Coburn | Optometrist | Highland Clinic, Apmc, 1400 E. Bert Kouns, Suite #103, Shreveport, LA 71105 | 2009-06-01 |
| 1336273150 | Charles Dennis Shanks | Optometrist | 7110 Youree Drive, Shreveport, LA 71105 | 2007-03-15 |
| 1730222472 | George M Bakowski Od PC | Optometrist | 1133 St. Vincent Ave # 216 Suite 120, Mall St. Vincent, Shreveport, LA 71104-4147 | 2007-02-14 |
| 1609918945 | Rudolph W. Troup Jr. | Optometrist | 8889 Jewella Ave, Suite D, Shreveport, LA 71118-2138 | 2007-02-13 |
| 1891889267 | Sam Ray Silverblatt | Optometrist | 1803 E 70th St, Shreveport, LA 71105-5301 | 2006-10-03 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71109 |
Please comment or provide details below to improve the information on DR. DAVID LEE JORDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.