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Individual

MARY ELIZABETH JORDAN-FLICKINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0EG000412
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001748348
PA
01
410039580
RAILROAD MEDICARE
01
506554
AETNA
01
52607
GEISINGER HEALTH PLAN
01
811745
FIRST PRIORITY HEALTH
01
JO461605
HIGH MARK BLUE SHIELD
Enumeration date
08/13/2006
Last updated
03/22/2026
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