Organization
ANDREANOS JORDANOPOULOS OD INC
Active
Other names
Eyecare Plus
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREANOS JORDANOPOULOS OD (PRESIDENT OWNER OPTOMETRIST)
(321) 723-8115
Entity
Organization
Contact information
Practice address
1573 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL 32904-3540
(321) 723-8115
(321) 723-7388
Mailing address
1573 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL 32904-3540
(321) 723-8115
(321) 723-7388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL2531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K6081
MEDICARE GROUP NUMBER
FL
Enumeration date
10/04/2006
Last updated
06/11/2008
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