Individual
DR. JORDAN JAMISON PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5310 N TARRANT PKWY, STE 128, FORT WORTH, TX 76244-5386
(817) 514-2114
(817) 514-2150
Mailing address
5310 N TARRANT PKWY, STE 128, FORT WORTH, TX 76244-5386
(817) 514-2114
(817) 514-2150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7417TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208059002
—
TX
01
—
TXB102635
MEDICARE PART B PROVIDER
TX
Enumeration date
08/19/2009
Last updated
01/10/2011
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