# ANDREANOS JORDANOPOULOS OD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eyecare Plus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104911098
- **Authorized official:** ANDREANOS JORDANOPOULOS OD (PRESIDENT OWNER OPTOMETRIST)
- **Authorized official phone:** (321) 723-8115

## Contact information

- **Practice address:** 1573 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL 32904-3540
- **Practice address phone:** (321) 723-8115
- **Practice address fax:** (321) 723-7388
- **Mailing address:** 1573 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL 32904-3540
- **Mailing address phone:** (321) 723-8115
- **Mailing address fax:** (321) 723-7388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | FL2531 | FL | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 06/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | K6081 | MEDICARE GROUP NUMBER | FL |