RANDALL W JORDAN OD
NPI 1003917956
Optometrist in Cordele, GA

Active since September 25, 2006
1107 E SOUTH GREER STREET, CORDELE, GA 31015(229) 273-0018(229) 273-0102 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall W Jordan Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL W JORDAN OD (NPI 1003917956) is an individual optometrist in Cordele, Georgia, licensed in Georgia (1192) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1003917956
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRANDALL W JORDANCredential: OD
Location Address1107 E SOUTH GREER STREETCordele, GA 31015
Mailing AddressPo Box 5103Cordele, GA 31010-5103 · (229) 273-0018 · Fax (229) 273-0102
Fax(229) 273-0102
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003917956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in GA · 1192
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1107 E SOUTH GREER STREET, Cordele, GA 31015

Other Identifiers 4

Medicare UPINU22421
Medicaid00414455FGA
Medicare ID-Type Unspecified41ZCRQMGA
Medicare ID-Type UnspecifiedGRP6776GA

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1107 E SOUTH GREER STREET
CORDELE, GA 31015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Jordan's NPI number?

The NPI number for Randall Jordan is 1003917956. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Randall Jordan located?

Randall Jordan practices at 1107 E South Greer Street, Cordele, GA 31015. The listed phone number is (229) 273-0018.

What is Randall Jordan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Randall Jordan accept?

Health plans from Blue Cross Blue Shield of Wyoming and BlueCross BlueShield of Tennessee list Randall Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Jordan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.