Cole William Jordan, OD | |
4646 John R St, Detroit, MI 48201-1916 | |
(313) 576-1000 | |
Not Available |
Full Name | Cole William Jordan |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 4646 John R St, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851082309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005693 (Michigan) | Primary |
Provider Name | Stadium Opticians Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245384544 PECOS PAC ID: 6103815204 Enrollment ID: O20040512000179 |
Provider Name | Vision Center Of Canton Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609047422 PECOS PAC ID: 6002971538 Enrollment ID: O20090218000090 |
Mailing Address | Practice Location Address |
---|---|
Cole William Jordan, OD 7346 N Gulley Rd, Dearborn Heights, MI 48127-3843 Ph: (313) 378-0189 | Cole William Jordan, OD 4646 John R St, Detroit, MI 48201-1916 Ph: (313) 576-1000 |
Kayleigh Rohr, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000 | |
Dr. Robert Fredrick Lee Iii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15157 Gratiot Ave, Detroit, MI 48205 Phone: 313-526-7664 Fax: 313-526-2055 | |
Dr. Sura Hassan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700 | |
Dr. Richard Edwin Gay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 19173 Mack Ave, Detroit, MI 48230 Phone: 313-882-7883 Fax: 313-882-5128 | |
Heritage Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2678 E Jefferson Ave, Detroit, MI 48207 Phone: 313-259-6006 | |
Dr. Linda Le, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1301 Orleans St Apt 1705, Detroit, MI 48207 Phone: 248-759-9202 | |