Jessica Jordan Od LLC

NPI #1790668614 in Port Orange, Florida

Provider Information

NPI Number: 1790668614
Entity Type: Organization
Organization Name: Jessica Jordan Od LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 29, 2025
Last Updated: Aug 3, 2025

Practice Location

Address: 5131 S RIDGEWOOD AVE STE A
City: Port Orange
State: Florida
ZIP Code: 32127-5168
Phone: (386) 222-2991

Authorized Official

Name: DR. JESSICA MAYA JORDAN, OD
Title: CEO
Phone: (808) 286-5529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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