Jessica Jordan Od Llc

LBN: Jessica Jordan Od Llc
Jessica Jordan Od Llc is an health care organization with primary practice located at 1771 Dunlawton Ave , Port Orange FL 32127-4757. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jessica Jordan Od Llc can be contacted via phone (386) 304-7360, or through Jordan, Jessica M via phone (808) 286-5529.

Contact Information

Primary practice address
1771 Dunlawton Ave Port Orange FL 32127-4757
Phone: (386) 304-7360
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Jessica M Doctor of Optometry (OD)
Phone: (808) 286-5529

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1073269577
LBN Legal business name Jessica Jordan Od Llc
DBA Doing business as
Authorized official Jordan, Jessica M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2022
Last updated Feb 23rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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