Most Relevant Information
Provider Data
| NPI Number: | 1003828120 |
| Provider Name: | MARY ELIZABETH JORDAN-FLICKINGER OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 0EG000412 |
Most Important Dates
| Enumeration Date: | 08/13/2006 |
| Last Updated: | 12/01/2022 |
Provider Practice Location
200 MIFFLIN AVE
SCRANTON
PA
18503
Practice Location Phone/Fax
| Phone: | 5703423145 |
| Fax: | 5703441309 |
Provider Mailing Location
200 MIFFLIN AVE
SCRANTON
PA
18503
Provider Mailing Phone/Fax
| Phone: | 5703423145 |
| Fax: | 5703441309 |