Individual
JORDAN SPIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1313 W HIGH ST, BRYAN, OH 43506-1545
(419) 636-1531
Mailing address
431 PARKVIEW AVE, BRYAN, OH 43506-1636
(567) 239-6575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006962
OH
Other
Enumeration date
05/11/2021
Last updated
05/24/2021
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