Most Relevant Information
Provider Data
| NPI Number: | 1003820051 |
| Provider Name: | LAUREL A JORDAN O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 0618001037 |
Most Important Dates
| Enumeration Date: | 07/27/2006 |
| Last Updated: | 06/06/2012 |
Provider Practice Location
301 N WASHINGTON HWY
SUITE 102
ASHLAND
VA
230051650
Practice Location Phone/Fax
| Phone: | 8047983306 |
| Fax: | 8047983617 |
Provider Mailing Location
301 N. WASHINGTON HWY
SUITE 102
ASHLAND
VA
23005
Provider Mailing Phone/Fax
| Phone: | 5402873290 |
| Fax: | 8047983617 |