Most Relevant Information
Provider Data
| NPI Number: | 1003489527 |
| Provider Name: | JORDAN HEATH FLEMING OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 3124 |
Most Important Dates
| Enumeration Date: | 07/22/2021 |
| Last Updated: | 07/22/2021 |
Provider Practice Location
2307 GORDON COOPER DR
SHAWNEE
OK
748019007
Practice Location Phone/Fax
| Phone: | 4052735236 |
| Fax: | 4058784835 |
Provider Mailing Location
2307 GORDON COOPER DR
SHAWNEE
OK
748019007
Provider Mailing Phone/Fax
| Phone: | 4052735236 |
| Fax: | 4058784835 |