Individual
JORDAN FREDERICK KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3606 N 156TH ST, OMAHA, NE 68116-2158
(402) 205-0754
Mailing address
3606 N 156TH ST STE 105, OMAHA, NE 68116-2163
(402) 205-0754
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
116516
IA
152W00000X
Optometrist
Primary
1589
NE
152W00000X
Optometrist
3153
MN
Other
Enumeration date
11/15/2008
Last updated
09/12/2025
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