Jordan G Conley Od, Llc | |
12504 Us Route 60, Ashland, KY 41102-9687 | |
(606) 929-9432 | |
(606) 929-9622 |
Full Name | Jordan G Conley Od, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 12504 Us Route 60, Ashland, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295336626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jordan Gregory Conley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376929067 PECOS PAC ID: 4981913324 Enrollment ID: I20151026000669 |
Mailing Address | Practice Location Address |
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Jordan G Conley Od, Llc 12504 Us Route 60, Ashland, KY 41102-9687 Ph: (606) 929-9432 | Jordan G Conley Od, Llc 12504 Us Route 60, Ashland, KY 41102-9687 Ph: (606) 929-9432 |
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