Jordan Lee Ellis Alexander, O.D.
Individual provider Active NPI Optometrist · Cedar Hill, TX
NPI 1003360462 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1003360462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 9247 (TX)
- Practice address
- 305 W FM 1382 Ste 524B
Cedar Hill, TX 75104-1890 - Phone
- (972) 293-7170
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9247 | TX | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9247 | TX | Yes |
Addresses
Primary practice location
305 W FM 1382 Ste 524B
Cedar Hill, TX 75104-1890
Mailing address
305 W FM 1382 Ste 524B
Cedar Hill, TX 75104-1890
Phone (972) 293-7170
Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.