Individual
JORDAN RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
802 MCCARTHY BLVD, NEW BERN, NC 28562
(252) 633-4183
(252) 636-1674
Mailing address
802 MCCARTHY BLVD, NEW BERN, NC 28562-5299
(252) 633-4183
(252) 636-1674
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002368
VA
152W00000X
Optometrist
Primary
2512
NC
Other
Enumeration date
09/12/2013
Last updated
05/15/2018
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