Jordan, David Lee
Jordan, David Lee is an sole proprietor health care provider with primary practice located at 2601 Jewella , Shreveport LA 71109. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jordan, David Lee can be contacted via phone (318) 631-5511.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8931017 | Louisiana |
Profile Details
| NPI number | 1730143371 |
|---|---|
| LBN Legal business name | Jordan, David Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Nov 22nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730143371 | NPPES |
| Louisiana | MEDICAID | 1314561 |
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