Individual
JORDAN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2301 KENTUCKY AVE, PADUCAH, KY 42003-3243
(270) 415-5080
(270) 415-5071
Mailing address
2301 KENTUCKY AVE, PADUCAH, KY 42003-3243
(270) 415-5080
(270) 415-5071
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2107DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107DT
BOARD OF OPTOMETRY
KY
Enumeration date
07/03/2018
Last updated
02/23/2026
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