Jordan Heath Fleming
Optometrist
2307 Gordon Cooper Dr
Shawnee
, Oklahoma 74801-9007
Jordan Heath Fleming
Optometrist
2307 Gordon Cooper Dr
Shawnee
, Oklahoma 74801-9007
(405) 878-4835
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Jordan Heath Fleming
- 2307 Gordon Cooper Dr
- Shawnee, OK
- Zip : 74801-9007
- Fax : (405) 878-4835
- Phone : (405) 273-5236
Second Address
- Jordan Heath Fleming
- 2307 Gordon Cooper Dr
- Shawnee, OK
- Zip : 74801-9007
- Fax : (405) 878-4835
- Phone : (405) 273-5236
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3124 | OK |
National Provider Identifier
| NPI | 1003489527 |
|---|---|
| Provider Name | Jordan Heath Fleming |
| First Address | Shawnee, OK 74801-9007 |
| Second Address | Shawnee, OK 74801-9007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2021 |
| Last Update Date | 22/07/2021 |
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.