Douglas R Jordan, OD Valid NPI
Individual provider · Optometrist · Mountain Home, AR
- NPI
- 1790760197
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 4021 (AR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-12-08
- Last updated
- 2021-08-19
Practice location
2943 Highway 62 W
Mountain Home, AR 72653-6535
(870) 424-4900