Individual
DR. JORDAN L UKENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5501 NW 8TH STREET, SUITE 500, JOHNSTON, IA 50131
(515) 270-0494
(515) 270-6463
Mailing address
111 NW 9TH ST, ANKENY, IA 50023-1754
(515) 964-7355
(515) 964-8413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
108457
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108457
STATE LICENSE
IA
Enumeration date
06/03/2021
Last updated
06/03/2021
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