Mary Elizabeth Jordan-Flickinger
Optometrist
200 Mifflin Ave
Scranton
, Pennsylvania 18503
Mary Elizabeth Jordan-Flickinger
Optometrist
200 Mifflin Ave
Scranton
, Pennsylvania 18503
(570) 344-1309
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Mary Elizabeth Jordan-Flickinger
- 200 Mifflin Ave
- Scranton, PA
- Zip : 18503
- Fax : (570) 344-1309
- Phone : (570) 342-3145
Second Address
- Mary Elizabeth Jordan-Flickinger
- 200 Mifflin Ave
- Scranton, PA
- Zip : 18503
- Fax : (570) 344-1309
- Phone : (570) 342-3145
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0EG000412 | PA |
National Provider Identifier
| NPI | 1003828120 |
|---|---|
| Provider Name | Mary Elizabeth Jordan-Flickinger |
| First Address | Scranton, PA 18503 |
| Second Address | Scranton, PA 18503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 08/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001748348 | (05) | PA |
| 410039580 | RAILROAD MEDICARE (01) | |
| 506554 | AETNA (01) | |
| 52607 | GEISINGER HEALTH PLAN (01) | |
| 811745 | FIRST PRIORITY HEALTH (01) | |
| JO461605 | HIGH MARK BLUE SHIELD (01) | |
| U75425 | (02) |
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.