Individual
JORDAN HEATH FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
(405) 878-4835
Mailing address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
(405) 878-4835
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3124
OK
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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