JORDAN RIDGEWAY (NPI# 1902231640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902231640 |
| Entity Type | Individual |
| Full Name | JORDAN RIDGEWAY |
| Other Name | JORDAN RIDGEWAY |
| Credential | O.D. |
| Practice Address |
802 Mccarthy Blvd New Bern NC 28562 |
| Mailing Address |
802 Mccarthy Blvd New Bern NC 28562-5299 |
| Practice Telephone | 2526334183 |
| Practice Fax Number | 2526361674 |
| Mailing Telephone | 2526334183 |
| Mailing Fax Number | 2526361674 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2512 | NC | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 0618002368 | VA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1420 10th St S, Apt 311, Birmingham, AL 352054554 | 8435300575 |
| Street Address |
802 MCCARTHY BLVD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013921121 | Coastal Eye Clinic, Pa | Technician/Technologist | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| 1780865717 | Michele Lea Scott | Ophthalmology | 802 Mccarthy Blvd, Coastal Eye Clinic, New Bern, NC 28562 | 2007-11-19 |
| 1710172507 | Cara Dian Hamm | Optometrist | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2007-09-13 |
| 1811911316 | Dean Palanca Ouano | Ophthalmology | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| 1992719009 | James Kenneth Chance | Ophthalmology | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| 1255355814 | Coastal Eye Clinic, Pa | Optometrist | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| 1548284037 | Bettina Bass Meekins | Ophthalmology | 802 Mccarthy Blvd, New Bern, NC 28562-5236 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| 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 |
|---|---|---|---|---|
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1720399157 | Nicholas Robert Reid | Optometrist | 3105 M L K Blvd, New Bern, NC 28562-5213 | 2010-06-30 |
| 1184899619 | Craven Optometric Center | Optometrist | 3005 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-5211 | 2008-04-25 |
| 1578604245 | Shawn Allen Doty | Optometrist | 2805 Village Way, New Bern, NC 28562-7351 | 2007-02-08 |
| 1386681724 | David B. Baxter | Optometrist | 3000 Trent Rd, New Bern, NC 28562-5735 | 2006-06-02 |
| 1598736258 | Joseph Vann Presson | Optometrist | 3001 Martin Luther King Jr Blvd, New Bern, NC 28562-5211 | 2006-01-31 |
| 1124023221 | Keitha Ann Covalla | Optometrist | 2001 S Glenburnie Rd, New Bern, NC 28562-5228 | 2005-06-15 |
| 1295140994 | Adrienne Pak Earle | Optometrist | 3000 Trent Rd, New Bern, NC 28562 | 2014-06-23 |
| 1245534569 | Christensen Eye Care Od Pa | Optometrist | 3005 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-5211 | 2010-12-29 |
| 1376876631 | Joseph Rudi Christensen | Optometrist | 3005 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-5211 | 2009-09-17 |
| Find all providers in NEW BERN | ||||
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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.