Dr Jessica Maya Jordan, OD | |
5131 S Ridgewood Ave Ste A, Port Orange, FL 32127-5168 | |
(386) 222-2991 | |
(386) 478-7512 |
Full Name | Dr Jessica Maya Jordan |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 5131 S Ridgewood Ave Ste A, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548884448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC5812 (Florida) | Primary |
Provider Name | Gulf Coast Optometry Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083859409 PECOS PAC ID: 0941359533 Enrollment ID: O20090602000109 |
Provider Name | Sightrite Medical Fl Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568977494 PECOS PAC ID: 9931446887 Enrollment ID: O20190130001886 |
Mailing Address | Practice Location Address |
---|---|
Dr Jessica Maya Jordan, OD 1648 Taylor Rd Ste 413, Port Orange, FL 32128-6753 Ph: (808) 286-5529 | Dr Jessica Maya Jordan, OD 5131 S Ridgewood Ave Ste A, Port Orange, FL 32127-5168 Ph: (386) 222-2991 |
Kathryn Blahnik, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3740 S Ridgewood Ave Unit 103, Port Orange, FL 32129 Phone: 386-492-6999 | |
Blahnik Eye Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3740 S Ridgewood Ave, Unit 103, Port Orange, FL 32129 Phone: 386-492-6999 Fax: 386-492-6900 | |
Dr. Larissa Dvorak, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1590 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-756-1900 Fax: 386-756-8133 | |
Jessica Jordan Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1771 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-7360 | |
Dr. Kirsten Reed Wilgers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5820 Williamson Blvd, Suite 106, Port Orange, FL 32128 Phone: 386-767-4449 Fax: 386-767-1980 | |
Gregory T Kipp, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3820 S Nova Rd, Port Orange, FL 32127 Phone: 386-767-0068 Fax: 386-767-4755 | |
Elizabeth Josephine Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1771 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-3328 |