Jordan Scott Ewert, O.D.

NPI #1124374426 in Shawnee, Oklahoma

Provider Information

NPI Number: 1124374426
Entity Type: Individual
Name: Jordan Scott Ewert, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 24, 2012
Last Updated: Oct 19, 2016

Practice Location

Address: 2109 N KICKAPOO AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74804-2732
Phone: (405) 275-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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