Individual
JORDAN S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9821 S MAY AVE STE C, OKLAHOMA CITY, OK 73159-7042
(405) 691-0505
(405) 691-0507
Mailing address
3037 NW 63RD ST STE W251, OKLAHOMA CITY, OK 73116-3637
(405) 691-0505
(405) 691-0507
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
32660
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200707220A
—
OK
Enumeration date
04/30/2011
Last updated
12/08/2025
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