National Provider Identifier
Jonathan Jordan
Jonathan Jordan is listed in the NPPES registry with a primary specialty of Optician in Olean, NY and a listed phone number of (716) 373-2792.
Profile Overview
- NPI
- 1831605187
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- December 22, 2017
- Last Updated
- December 22, 2017
Practice Location
- 1869 Plaza Dr
- Olean, NY 14760-1864
Phone: (716) 373-2792
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1831605187
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Jonathan
- Mailing Street Address
- 1869 Plaza Dr
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1864
- Mailing Country
- US
- Mailing Phone
- (716) 373-2792
- Mailing Fax
- (716) 373-2795
- Practice Street Address
- 1869 Plaza Dr
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1864
- Practice Country
- US
- Practice Phone
- (716) 373-2792
- Practice Fax
- (716) 373-2795
- Enumeration Date
- December 22, 2017
- Last Updated
- December 22, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)