Individual
DR. JORDAN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1205 OLD HIGHWAY 127 S, JAMESTOWN, TN 38556-5609
(931) 879-5897
(931) 879-8166
Mailing address
PO BOX 846, JAMESTOWN, TN 38556-0846
(931) 879-5897
(931) 879-8166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD2804
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508385
—
TN
05
—
3724243
—
TN
01
—
4193036
BCBS
TN
Enumeration date
07/10/2008
Last updated
10/10/2014
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