Jordan Rosen OD LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001124 Issued in VA

Legal business name

JORDAN ROSEN OD LTD

Practice address

1306 Alverser PLZ
Midlothian, VA 23113-2604

Phone

(804) 379-1872

Fax

(804) 379-0772

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jordan David Rosen, O.D.

Title

Optometrist

Phone

(804) 379-1872

Specialties & licenses 1

Addresses

Other names 1

• MIDLOTHIAN OPTOMETRIC CENTER Doing business as

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1699808162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-379-1872",
            "fax_number": "804-379-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-379-1872",
            "fax_number": "804-379-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN ROSEN OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "804-379-1872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDLOTHIAN OPTOMETRIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabrina Sklute Jones, RPH
• Skyler Addison Jones
• Tamyah Jones
• Veronique Jones, BS, MA, QDDP
• Callie Jongbloedt
• Amanda Grady Jordan, MED,BCBA
• Danielle Dee Jordan
• Edward T Jordan, D.D.S.
• Kera D Jordan, M.S. CCC-SLP
• Mahala Jordan, LPC

• Optometrist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.