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Active NPI 1063104982 Individual Practitioner Male Practitioner

Michael Kevin Jordan , LDO

Technician/Technologist - Optician • Middleburg, FL

Professional Overview & Biography Verified Profile Summary

Michael Jordan, LDO is a registered healthcare professional specializing in Technician/Technologist - Optician in Middleburg, FL. Practice services are available at 1580 BRANAN FIELD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1580 Branan Field Rd

Middleburg, FL 320688427

Telephone 9042149102
Fax 9042149054
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1205926276

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Middleburg, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Middleburg, FL (686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-22
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License FL DO5422

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Susan Smith , LDO

Technician/Technologist - Optician

NPI 1376237412
Nareishia Mccloud , LDO

Technician/Technologist - Optician

NPI 1538852595

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2023

Registered at 1580 BRANAN FIELD RD, MIDDLEBURG, FL 320688427 (Tel: 9042149102)

📍
Updated Business Mailing Address May 22, 2023

Registered at 1580 BRANAN FIELD RD, MIDDLEBURG, FL 320688427 (Tel: 9042149102)

👤
Provider Name / Credentials Updated May 22, 2023

Recorded as MICHAEL JORDAN, LDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Technician/Technologist (License #DO5422 in FL)

🟢
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063104982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: May 22, 2023
Sole Proprietor: Yes

Mailing Address

1580 Branan Field Rd

Middleburg, FL 320688427

Phone: 9042149102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.