NPI 1861480246 · live from the CMS NPI Registry
Jeffrey Jay Jordan, MD
Ophthalmology in Bangor, ME. National Provider Identifier 1861480246, active.
NPI record
| NPI | 1861480246 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 900 Hammond St # A, Bangor, ME 04401 |
| Practice phone | 207-947-6743 |
| Enumerated | October 11, 2005 |
| Last updated | June 7, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 014810 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.