Organization
JORDAN ROSEN OD LTD
Active
Other names
MIDLOTHIAN OPTOMETRIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN DAVID ROSEN O.D. (OPTOMETRIST)
(804) 379-1872
Entity
Organization
Contact information
Practice address
1306 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 379-1872
(804) 379-0772
Mailing address
1306 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 379-1872
(804) 379-0772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001124
VA
Other
Enumeration date
03/14/2007
Last updated
12/16/2008
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