Active NPIIndividual providerSole proprietor

Dr. Tim Jordan, OD

Optometrist in Epping, New Hampshire

NPI Number1255427068
Practice location
35 Fresh River RD, Epping, NH 03042-2225
Fax
—
Last updated
June 22, 2010

Tim Jordan is an Optometrist based in Epping, NH. Tim Jordan practices in Epping, NH and has the professional credentials of OD. The NPI Number for Tim Jordan is 1255427068 and holds a License No. 655 (NH). The current practice location address for Tim Jordan is 35 Fresh River RD, Epping, NH 03042-2225 and can be reached out via phone at 603-679-5147.

Provider Profile Details

NPI Number
1255427068
Provider Name
Tim Jordan
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
35 Fresh River RD, Epping, NH 03042-2225
Phone Number
603-679-5147
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2006
Last Update Date
June 22, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Fresh River RD
Epping, NH 03042-2225
City
Epping
Zip
03042-2225
Phone Number
603-679-5147
Epping, NH 03042Get directions →

Provider Business Mailing Address Details

Address
Po Box 376
Epping, NH 03042-0376
City
Epping
State
NH
Zip
03042-0376
Phone Number
603-679-5147

License Information

License Number (1)
655
License State (1)
NH
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
4033
License State (2)
MA
Taxonomy (2)
Optometrist · 152W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tim Jordan, OD?

The NPI number of Dr. Tim Jordan, OD is 1255427068. It was assigned on October 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Tim Jordan, OD?

Dr. Tim Jordan, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NH under license number 655.

Where does Dr. Tim Jordan, OD practice?

The practice location is 35 Fresh River RD, Epping, NH 03042-2225. The office can be reached at 603-679-5147 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255427068 directly on the NPPES registry website.

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