| NPI | 1336148634 |
|---|---|
| Other Name | JORDAN FAMILY EYECARE |
| Doing Business As | JORDAN FAMILY EYECARE |
| Entity Type | Organization |
| Authorized Contact | VICKI D JACQUES Billing Specialist 603-335-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2019-10-18 |