Organization
WAYNESBOROUGH OPHTHALMOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FAYE JORDAN MD (PRESIDENT)
(919) 734-8440
Entity
Organization
Contact information
Practice address
103 COX BLVD, GOLDSBORO, NC 27534-9478
(919) 734-8440
(919) 734-9387
Mailing address
103 COX BLVD, GOLDSBORO, NC 27534-9478
(919) 734-8440
(919) 734-9387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1019
NC
207W00000X
Ophthalmology Physician
Primary
25961
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0287A
BCBS OF NC
NC
05
—
890287A
—
NC
Enumeration date
04/20/2006
Last updated
05/02/2023
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