E L Jordan Jr DO PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

E L JORDAN JR DO PC

Doing business as

Jordan Eye Center

Practice address

2630 Cunningham Ave
Joplin, MO 64804-1542

Phone

(417) 781-0044

Fax

(417) 781-6331

NPI assigned

Oct 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Earl Lawrence Jordan Jr., DO

Title

President

Phone

(417) 781-0044

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Jordan Eye Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1093803660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 CUNNINGHAM AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041542",
            "telephone_number": "417-781-0044",
            "fax_number": "417-781-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 CUNNINGHAM AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041542",
            "telephone_number": "417-781-0044",
            "fax_number": "417-781-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E L JORDAN JR DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-781-0044",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3737",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "106677",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3767",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229750C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200100060A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505484402",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "059024",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229750B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229750D",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Dunnic
• John C Durling II
• Moira S Duverneau-Salifu, NP-C
• Whitney Alexis Dye
• Crystal Joy Dyer, FNP-C
• E Medical Group of Missouri No 1 LLC (Angels Care Home Health)
• Andrea Louise Eads
• Eaglemed LLC
• Carl David Eastep, PA-C
• Darla D Easter, NP-C

• Ophthalmology Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.