Douglas R Jordan, OD
Optometrist in Mountain Home, AR. Individual provider (NPI-1).
NPI number1790760197
StatusActive
Last updated in NPPESAug 19, 2021
Details
- NPI
- 1790760197
- Entity type
- Individual (NPI-1)
- Name
- Douglas R Jordan
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2005
- Certification date
- Aug 19, 2021
- Last updated
- Aug 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4021 | AR | Yes |
| 152W00000X | Optometrist | T 03117 | MO |
Practice location
2943 Highway 62 WMountain Home, AR 72653-6535
Phone 870-424-4900 · Fax 870-424-4979
Mailing address
Po Box 444Mountain Home, AR 72654-0444
Phone 870-424-4900 · Fax 870-424-4979
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Other Optometrist providers in Mountain Home, AR
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- Whitney D McFall, O.D.NPI 1861405243
- Kari L Priborsky, O.D.NPI 1184621872
All 9 Optometrist providers in Mountain Home · All 1,273 providers in Mountain Home
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