Individual
JORDAN DANIEL ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(343) 724-0550
Mailing address
969 W RICHLAND CIR, AUBURN, AL 36832-5431
(256) 497-5412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1827
SC
152WC0802X
Corneal and Contact Management Optometrist
1827
SC
Other
Enumeration date
10/29/2014
Last updated
09/13/2021
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