JORDAN DAVIS (NPI# 1861988792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861988792 |
| Entity Type | Individual |
| Full Name | JORDAN DAVIS |
| Credential | OD |
| Practice Address |
2302 Kentucky Ave Paducah KY 42003-3244 |
| Practice Telephone | 2704155080 |
| Practice Fax Number | 2704155071 |
| Mailing Telephone | 2704155080 |
| Mailing Fax Number | 2704155071 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2107DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BOARD OF OPTOMETRY | 2107DT | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245864396 | Jordan Nichole Davis | Nurse Practitioner | 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385 | 2020-02-27 |
| 1043728223 | Jordan Elizabeth Davis | Occupational Therapist | 4500 Orchard Pl, Gasport, NY 14067-9208 | 2018-01-22 |
| 1831649532 | Jordan Katherine Davis | Case Manager/Care Coordinator | 1005 3rd St, Bay City, MI 48708-6012 | 2016-10-06 |
| 1407134935 | Jordan Clark Davis | Pharmacist | 1223 Cibecue Cir, San Carlos, AZ 85550-0208 | 2011-08-02 |
| 1033726948 | Jordan Alliah Davis | Physical Therapist | 3007 Panola Rd Ste C, Lithonia, GA 30038-2492 | 2020-09-24 |
| 1174137947 | Jordan Lian Davis | Pharmacist | 35 25th St Nw, Cleveland, TN 37311-3830 | 2020-08-31 |
| 1588286496 | Jordan Paige Davis | Psychologist | 1 Park Ave Fl 7, New York, NY 10016-5818 | 2020-05-13 |
| 1265088371 | Jordan Davis | Specialist/Technologist | 225 N 7th St, Bismarck, ND 58501-4417 | 2019-08-14 |
| 1821640087 | Jordan Davis | Counselor | 357 Kansas Ave Se, Huron, SD 57350-2517 | 2019-07-09 |
| 1588225262 | Jordan Davis | Pharmacist | 3250 S Eagle Rd, Meridian, ID 83642-7018 | 2019-06-24 |
| Street Address |
2302 KENTUCKY AVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922135524 | Anita Akin Lentz | Optometrist | 2302 Kentucky Ave, Paducah, KY 42003-3244 | 2007-02-28 |
| 1487925491 | Eye Center of Paducah, LLC | Optometrist | 2302 Kentucky Ave, Paducah, KY 42003-3244 | 2012-01-23 |
| 1407087885 | Jennifer Lynn Gibson | Optometrist | 2302 Kentucky Ave, Paducah, KY 42003-3244 | 2009-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| 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 |
|---|---|---|---|---|
| 1508255464 | Four Rivers Vision Therapy, Pllc | Optometrist | 4570 Pecan Dr, Suite C, Paducah, KY 42001-6717 | 2015-01-15 |
| 1578972113 | West End Eye Care, Ltd. | Optometrist | 4570 Pecan Dr Ste C, Paducah, KY 42001-6752 | 2014-08-07 |
| 1811242787 | Levi Christopher Mansfield | Optometrist | 4630 Village Square Dr Ste 201, Paducah, KY 42001-7502 | 2012-07-17 |
| 1487887428 | Daniel R. Quinlan O D | Optometrist | 609 Broadway St, Paducah, KY 42001-6869 | 2009-08-25 |
| 1932224755 | Steven D. Gamblin | Optometrist | 5101 Hinkleville Rd, Suite 490, Paducah, KY 42001-9049 | 2007-03-20 |
| 1922135524 | Anita Akin Lentz | Optometrist | 2302 Kentucky Ave, Paducah, KY 42003-3244 | 2007-02-28 |
| 1669517959 | Monte E Wright | Optometrist | 2408 New Holt Rd, Paducah, KY 42001-7455 | 2007-02-21 |
| 1851435366 | Daniel Robert Quinlan | Optometrist | 609 Broadway, Paducah, KY 42002 | 2007-02-16 |
| 1255496170 | Fred Klutts Jr. | Optometrist | 3910 Hinkleville Rd, Paducah, KY 42001-9017 | 2006-12-22 |
| 1295814564 | Daniel W Newberry | Optometrist | 60 Lakeview Dr, Paducah, KY 42001 | 2006-11-06 |
| Find all providers in PADUCAH | ||||
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| 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.