Organization
B & J OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD D JORDAN OD (OWNER)
(740) 852-0662
Entity
Organization
Contact information
Practice address
16 S MAIN ST, LONDON, OH 43140-1211
(740) 852-0662
(740) 852-0668
Mailing address
16 S MAIN ST, LONDON, OH 43140-1211
(740) 852-0662
(740) 852-0668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0613929
—
OH
Enumeration date
09/20/2007
Last updated
04/29/2009
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