Jerome William Jordan (NPI# 1952413791, PAC ID# 4284538190) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1952413791 |
| PAC ID by PECOS | 4284538190 |
| Professional Enrollment ID | I20100202000288 |
| Full Name | Jerome William Jordan |
| Organization Legal Name | NORTHEASTERN EYE INSTITUTE |
| Address |
200 Mifflin Ave Scranton PA 18503-1982 |
| Phone Number | 5703423145 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1971 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3577467489 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390125 | WAYNE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Mifflin Ave, Scranton, PA 18503-1982 | 5703423145 | NORTHEASTERN EYE INSTITUTE |
| Organization Legal Name | NORTHEASTERN EYE INSTITUTE |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles P Whitling | Optometry | Northeastern Eye Institute | 1850 S Township Boulevard, Pittston, PA 18640-3550 |
| Randall Ray Peairs | Ophthalmology | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Mary Elizabeth Jordan-flickinger | Optometry | Northeastern Eye Institute | 503 S State St, Clarks Summit, PA 18411-1557 |
| Christopher S Jordan | Ophthalmology | Northeastern Eye Institute | 626 Park St, Honesdale, PA 18431-1446 |
| Maryellen Judge | Optometry | Northeastern Eye Institute | 679 Kidder St, Wilkes Barre, PA 18702-6908 |
| Cynthia G Charnetski-sites | Optometry | Northeastern Eye Institute | 1582 Main St, Peckville, PA 18452-2029 |
| Natalie M Boyce | Optometry | Northeastern Eye Institute | 626 Park St, Honesdale, PA 18431-1446 |
| Megan M Walsh | Optometry | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Emily A Jones | Optometry | Northeastern Eye Institute | 626 Park St, Honesdale, PA 18431-1446 |
| Thomas Stanley Boland | Ophthalmology | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Street Address |
200 MIFFLIN AVE |
| City | SCRANTON |
| State | PA |
| Zip | 18503-1982 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall Ray Peairs | Ophthalmology | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Megan M Walsh | Optometry | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Thomas Stanley Boland | Ophthalmology | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| James B Flickinger | Optometry | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Jerard W Brown | Optometry | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Arthur Joseph Jordan Jr. | Ophthalmology | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Jennifer A Yeselavage | Optometry | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Stuart Kaufman | Optometry | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Barbara Ann Caputo-fox | Optometry | Northeastern Eye Institute | 200 Mifflin Ave, Scranton, PA 18503-1982 |
| Gerald A Flora | Certified Registered Nurse Anesthetist (crna) | Cas Anesthesia Associates | 200 Mifflin Ave, Scranton, PA 18503-1942 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley N Adams | Nurse Practitioner | Pa Department of Military and Veterans Affairs | 401 Penn Ave, Scranton, PA 18503-1213 |
| Linda Timme | Clinical Social Worker | Integrative Counseling Services, PC | 300 Mulberry St, Suite 201, Scranton, PA 18503-1233 |
| Allen J Duricko | Psychologist, Clinical | 300 Mulberry St, Suite 306, Scranton, PA 18503-1233 | |
| Edward J Mcnichols Iii | Clinical Social Worker | Integrative Counseling Services, PC | 300 Mulberry St, Suite 201, Scranton, PA 18503-1233 |
| Leah B Losavich | Clinical Social Worker | Integrative Counseling Services, PC | 300 Mulberry St, Suite 201, Scranton, PA 18503-1233 |
| Thomas P Smith | Psychologist, Clinical | 321 Spruce St, Suite 7, Scranton, PA 18503-1400 | |
| David A Wadas | Audiologist | Audiology and Hearing Centers of Nepa LLC | 321 Spruce St, Scranton, PA 18503-1400 |
| Richard J Burns Jr. | Obstetrics/gynecology | 321 Spruce St, Suite 609, Scranton, PA 18503-1409 | |
| Gregg Severs | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Mark F Suchter | Dermatology | Lackawanna Valley Dermatology Associates Limited | 327 N Washington Ave, 200 Lackawanna Valley Dermatology Associates Ltd, Scranton, PA 18503-1535 |
| Find all physicians in zip 18503 | |||
| City | SCRANTON |
| Zip Code | 18503 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SCRANTON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jerome William Jordan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.