DR. ROGER L JORDAN (NPI# 1972537561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972537561 |
| Entity Type | Individual |
| Full Name | DR. ROGER L JORDAN |
| Credential | O.D. |
| Practice Address |
609 4j Ct Gillette WY 82716-4135 |
| Practice Telephone | 3076822020 |
| Practice Fax Number | 3076825656 |
| Mailing Telephone | 3076822020 |
| Mailing Fax Number | 3076825656 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
142-T | WY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679872840 | Roger Stephen Jordan | Pharmacist | 800 Glynn St N, Fayetteville, GA 30214-7360 | 2011-03-27 |
| 1073992566 | Roger W Jordan Jr. | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-05-29 |
| Street Address |
609 4J CT |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154639201 | Joseph Leonard Fischer | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2010-09-22 |
| 1710212378 | Ashlee E Fischer | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2009-10-14 |
| 1770818858 | Melissa Marie Serreyn Younger | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2009-10-07 |
| 1891850707 | Gillette Optometric Clinic PC | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2006-12-22 |
| 1659399376 | Robert L Mills | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2006-07-18 |
| 1265466320 | Joseph C Maycock | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2006-07-11 |
| 1205816980 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 609 4j Ct, Unit B, Gillette, WY 82716-4135 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265466320 | Joseph C Maycock | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639131899 | Daniel R. Perala | Optometrist | 2528 Dell Range Blvd, Cheyenne, WY 82009-5273 | 2006-04-04 |
| 1699751024 | Everett Lyle King | Optometrist | 418 S 5th St, Laramie, WY 82070-3733 | 2005-12-18 |
| 1427050343 | Joseph Greg Toland | Optometrist | 255 W 3rd St, Powell, WY 82435-2321 | 2005-08-11 |
| 1336355627 | Heart Mountain Eyecare Group | Optometrist | 255 W 3rd St, Powell, WY 82435-2321 | 2007-05-15 |
| 1891912846 | A New Concept Optical & Eyecare | Optometrist | 2528 Dell Range Blvd, Cheyenne, WY 82009-5273 | 2007-04-19 |
| 1225254204 | Albany Eye Care, LLC | Optometrist | 418 S 5th St, Laramie, WY 82070-3733 | 2007-04-18 |
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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.