DR. JOSEPH J JORDAN JR. (NPI# 1174597199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174597199 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH J JORDAN JR. |
| Credential | OD |
| Practice Address |
8 Lilac Mall Rochester NH 03867-1350 |
| Practice Telephone | 6033356666 |
| Mailing Telephone | 6033356666 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2010-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 3093 | MA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 0495 | NH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 020493870 | 01 | |
| CIGNA PROVIDER | 7515834 | 01 | |
| NH | 40009434 | 05 | |
| HARVARD PILGRIM PROVIDER | NA1153 | 01 | |
| NH | BCBS PROVIDER NUMBER | 0907469Y0NH01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912469008 | Joseph Leonardo Jordan | Massage Therapist | 3529 Ne Bryce St, Portland, OR 97212-1854 | 2019-04-05 |
| 1154895662 | Joseph Patrick Jordan V | Specialist/Technologist | 201 Marble Ln, Lafayette Hill, PA 19444-1312 | 2019-01-17 |
| 1629585369 | Joseph Edward Jordan | Physical Therapist | 320 Pine Cone Pl, Pine Valley, UT 84781-2375 | 2018-01-03 |
| 1588118376 | Joseph Jordan | Contractor | 2001 Kent St, Lubbock, TX 79403-2922 | 2016-08-09 |
| 1881901346 | Joseph Alfred Jordan | Pharmacist | 650 W Naranja Ave, Mesa, AZ 85210-7435 | 2010-09-04 |
| 1023323383 | Joseph Floyd Jordan Jr. | Dentist | 624 S. High St., Hillsboro, OH 45133 | 2010-08-11 |
| 1356582670 | Joseph Jordan | Counselor | 1325 Lagerfeld Way, Wake Forest, NC 27587-1643 | 2009-03-17 |
| 1790318749 | Joseph Lee Jordan | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-02-18 |
| 1467082743 | Joseph Vincent Jordan | Physician Assistant | 25 Myers Corner Dr, Staunton, VA 24401-6342 | 2020-01-25 |
| 1962973065 | Joseph Cody Jordan | Behavioral Analyst | 10 6th Ave W, Huntington, WV 25701-0028 | 2018-12-16 |
| Street Address |
8 LILAC MALL |
| City | ROCHESTER |
| State | NH |
| Zip Code | 03867-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336148634 | Jordan Family Eyecare Inc | Optometrist | 8 Lilac Mall, Rochester, NH 03867-1350 | 2005-07-19 |
| 1194134627 | Christina J Simpson | Optometrist | 8 Lilac Mall, Rochester, NH 03867 | 2014-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402862 | Allergy and Asthma Center | Allergy & Immunology | 161 Rochester Hill Road, Rochester, NH 03867 | 2020-09-16 |
| 1245874908 | Alicia Anne Magoon | Occupational Therapist | 105 Eastern Avenue, Rochester, NH 03867 | 2019-11-05 |
| 1124531801 | Amelia K Bailey | Behavioral Analyst | 36 Industrial Way Ste 10, Rochester, NH 03867 | 2017-11-16 |
| 1285183988 | Till Inc | Community/Behavioral Health | 20 Walnut Street Apt 2, Woburn, MA 03867 | 2016-09-23 |
| 1174070080 | Hope On Haven Hill, Inc | Substance Abuse Rehabilitation Facility | 326 Rochester Hill Rd, Rochester, NH 03867 | 2016-09-08 |
| 1710359468 | Silke Psula | Social Worker | 25 Old Dover Rd, Community Partners, Rochester, NH 03867 | 2015-10-21 |
| 1396129672 | Skyhaven Surgery Center LLC | Clinic/Center | 13 Healthcare Drive, Rochester, NH 03867 | 2015-07-16 |
| 1659788214 | Elizabeth Mary Solof | Case Management | 1 Old Dover Road, Suite 7, Rochester, NH 03867 | 2014-07-16 |
| 1447676754 | Granite State Express Care LLC | Clinic/Center | 120 Washington Street, Rochester, NH 03867 | 2014-03-11 |
| 1265630412 | Deborah Jo Emery | Counselor | One Old Dover Road, Suite #6, Rochester, NH 03867 | 2007-07-10 |
| Find all providers in zip 03867 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316588700 | Total Vision Eyecare, Pllc | Optometrist | 1630 Center St W, Rochester, MN 55902-0346 | 2019-10-07 |
| 1619529278 | Amanda Domagola | Optometrist | 451 Hollybrook Rd, Rochester, NY 14623-4115 | 2019-07-14 |
| 1962062000 | Megan Elizabeth Hart | Optometrist | 3173 Chili Ave Ste 400, Rochester, NY 14624-5400 | 2019-06-20 |
| 1902310006 | Maria Annum | Optometrist | 3462 55th St Nw Ste 600, Rochester, MN 55901-0203 | 2017-11-28 |
| 1467964627 | Eric Lee Houghtaling | Optometrist | 2180 Monroe Ave Ste 1, Rochester, NY 14618-2410 | 2017-10-27 |
| 1942731682 | Bhend Family Eye Care, Pllc | Optometrist | 2650 S Broadway, Suite 400, Rochester, MN 55904-6262 | 2017-03-24 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1376957779 | David William Kenney | Optometrist | 3042 W Ridge Rd, Rochester, NY 14626-1676 | 2014-06-13 |
| 1801221346 | Anthony J Dell'anno | Optometrist | 2590 W Ridge Rd, Rochester, NY 14626-3041 | 2013-09-03 |
| 1972944668 | Marycarol Graby | Optometrist | 2301 Lac Deville Blvd, Rochester, NY 14618-5646 | 2013-07-10 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.