Randall W Jordan Od Pc | |
1107 E South Greer Street, Cordele, GA 31015 | |
(229) 273-0018 | |
(229) 273-0102 |
Full Name | Randall W Jordan Od Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1107 E South Greer Street, Cordele, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811098767 | NPI | - | NPPES |
00414455F | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1192 (Georgia) | Primary |
Provider Name | Randall W Jordan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003917956 PECOS PAC ID: 5193786192 Enrollment ID: I20041029000264 |
Mailing Address | Practice Location Address |
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Randall W Jordan Od Pc Po Box 5103, Cordele, GA 31010-5103 Ph: (229) 273-0018 | Randall W Jordan Od Pc 1107 E South Greer Street, Cordele, GA 31015 Ph: (229) 273-0018 |
Randall W Jordan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1107 E South Greer Street, Cordele, GA 31015 Phone: 229-273-0018 Fax: 229-273-0102 | |
Leitner Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 716-c 16th Ave East, Cordele, GA 31015 Phone: 229-273-2376 | |
Dr. William Arthur Pflueger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1215 E 16th Ave, Cordele, GA 31015 Phone: 229-271-9587 Fax: 229-271-0998 | |
Mark L Bryant, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 N 4th St, Cordele, GA 31015 Phone: 229-273-0435 | |
Eyesight Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1011 N 4th St, Cordele, GA 31015 Phone: 229-273-0435 Fax: 229-273-4665 | |
Professional Vision Services Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 115 7th St, Cordele, GA 31010 Phone: 229-273-2478 Fax: 229-271-2432 | |
Wall Eye Care Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 716 E 16th Ave Ste C, Cordele, GA 31015 Phone: 229-273-2395 Fax: 229-273-2393 |