Mary Fritz Jordan, OD

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

Practice address

219 E Cole Ave
Wheaton, IL 60187

Phone

(630) 690-7115

Fax

(630) 690-9037

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295815728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 BARCLAY CT",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103273",
            "telephone_number": "630-406-1131",
            "fax_number": "630-389-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E COLE AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-690-7115",
            "fax_number": "630-690-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARY",
        "middle_name": "FRITZ",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice L Jones, L.C.S.W.
• Leslie Ann Jones, SLP
• Rhonda Jones
• Steve Jones, LCPC
• Elliott James Jordan, D.C.
• Richard Anthony Jorgensen, M.D.
• Kerri Josefek
• Bradford L Joseph, PTA
• Samantha H Joseph, LCSW
• Kajal Joshi, DMD

• Low Vision Rehabilitation Optometrist in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Low Vision Rehabilitation Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.