Individual
DR. JORDAN T DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1507 WESTOVER TER STE C, GREENSBORO, NC 27408-7121
(336) 274-7771
(336) 274-2024
Mailing address
15933 CLAYTON RD STE 210, BALLWIN, MO 63011-2172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2489
NC
152W00000X
Optometrist
OEG003155
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13854021
CAQH NUMBER
PA
Enumeration date
07/07/2016
Last updated
11/21/2025
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