Dr. Laurel A Jordan
Optometrist
301 N Washington Hwy Suite 102
Ashland
, Virginia 23005-1650
Dr. Laurel A Jordan
Optometrist
301 N Washington Hwy Suite 102
Ashland
, Virginia 23005-1650
(804) 798-3617
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Laurel A Jordan
- 301 N. Washington Hwy Suite 102
- Ashland, VA
- Zip : 23005
- Fax : (804) 798-3617
- Phone : (540) 287-3290
Second Address
- Dr. Laurel A Jordan
- 301 N Washington Hwy Suite 102
- Ashland, VA
- Zip : 23005-1650
- Fax : (804) 798-3617
- Phone : (804) 798-3306
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618001037 | VA |
National Provider Identifier
| NPI | 1003820051 |
|---|---|
| Provider Name | Dr. Laurel A Jordan |
| First Address | Ashland, VA 23005 |
| Second Address | Ashland, VA 23005-1650 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 06/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V00857 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.