David L Jordan (NPI# 1730143371, PAC ID# 7517083496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1730143371 |
| PAC ID by PECOS | 7517083496 |
| Professional Enrollment ID | I20100928001561 |
| Full Name | David L Jordan |
| Address |
2601 Jewella Ave Shreveport LA 71109-3205 |
| Phone Number | 3186315511 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2601 Jewella Ave, Shreveport, LA 71109-3205 | 3186315511 |
| Street Address |
2601 JEWELLA AVE |
| City | SHREVEPORT |
| State | LA |
| Zip | 71109-3205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy V Smith | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| Jill A Ferguson | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| Jared D Barker | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| Jonathan F Koehler | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| Kirtesh H Patel | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| William A Wesche | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| Stephen P Blanchard | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| Laura R Kidd | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| Thomas Nicotri Jr. | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| Dale J Morvant | Pathology | The Delta Pathology Group LLC | 2915 Missouri Ave, Shreveport, LA 71109-4327 |
| Find all physicians in zip 71109 | |||
| City | SHREVEPORT |
| Zip Code | 71109 |
| Specialty | OPTOMETRY |
| City + Specialty | SHREVEPORT + OPTOMETRY |
Please comment or provide details below to improve the information on David L Jordan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.