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Individual

MR. CHRISTOPHER JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
636 W SCHROCK ROAD, WESTERVILLE, OH 43081-8996
(614) 890-3577
(614) 890-5915
Mailing address
81 E GAY STREET, COLUMBUS, OH 43215-3103
(614) 224-2414
(614) 224-5916

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4464
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0934225
OH
Enumeration date
07/24/2006
Last updated
08/18/2021
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