MARY FRITZ JORDAN OD NPI 1295815728

NPI Information

NPI: 1295815728
Provider Name: MARY FRITZ JORDAN, OD
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

Address:
219 E COLE AVE
WHEATON, IL
ZIP 60187
Phone: (630) 690-7115
Get Directions

Mary Fritz Jordan, OD is a low vision rehabilitation optometrist in Wheaton, IL. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. Mary Fritz Jordan, OD NPI is 1295815728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

219 E COLE AVE
WHEATON, IL
ZIP 60187
Phone: (630) 690-7115
Fax: (630) 690-9037

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WL0500X	Optometrist	Low Vision Rehabilitation		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V34749	MEDICARE UPIN
2	L54228	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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