Jordan, Tara Leigh
Jordan, Tara Leigh is an sole proprietor health care provider with primary practice located at 3303A Glynn Ave , Brunswick GA 31520-4406. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jordan, Tara Leigh can be contacted via phone (912) 466-9500.Contact Information
Primary practice address
3303A Glynn Ave
Brunswick GA 31520-4406
Phone: (912) 466-9500
Fax: (912) 466-9922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002683 | Georgia |
Profile Details
| NPI number | 1437446432 |
|---|---|
| LBN Legal business name | Jordan, Tara Leigh |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2011 |
| Last updated | Feb 16th, 2023 - about last year |
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 | 1437446432 | NPPES |
| Georgia | Other | OPT002683 | GA LICENSE |
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