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Organization
ANDREANOS JORDANOPOULOS OD INC
Active
Organization
ANDREANOS JORDANOPOULOS OD INC
Active
Other names
Eyecare Plus
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREANOS JORDANOPOULOS OD (PRESIDENT OWNER OPTOMETRIST)
(321) 723-8115
Entity
Organization
Contact information
Practice address
1573 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL 32904-3540
(321) 723-8115
(321) 723-7388
Mailing address
1573 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL 32904-3540
(321) 723-8115
(321) 723-7388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL2531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K6081
MEDICARE GROUP NUMBER
FL
Enumeration date
10/04/2006
Last updated
06/11/2008
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