MICHAEL KEVIN JORDAN LDO
NPI 1063104982
Technician/Technologist - Optician in Middleburg, FL

Active since May 22, 2023
1580 BRANAN FIELD RD, MIDDLEBURG, FL 32068(904) 214-9102(904) 214-9054 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Kevin Jordan Ldo NPPES

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

MICHAEL KEVIN JORDAN LDO (NPI 1063104982) is an individual optician in Middleburg, Florida, licensed in Florida (DO5422) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1063104982
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameMICHAEL KEVIN JORDANCredential: LDO
Location Address1580 BRANAN FIELD RDMiddleburg, FL 32068-8427
Mailing Address1580 Branan Field RdMiddleburg, FL 32068-8427 · (904) 214-9102 · Fax (904) 214-9054
Fax(904) 214-9054
Sole ProprietorYes
Enumeration DateMay 22, 2023
NPPES CertifiedMay 22, 2023
NPI 1063104982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License Licensed in FL · DO5422
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
1580 BRANAN FIELD RD, Middleburg, FL 32068

Other Providers at the Same Location NPPES 9

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

Pharmacy (Community/Retail Pharmacy)
1580 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Optometrist
1580 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Technician/Technologist (Optician)
1580 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Pharmacist
1580 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Optometrist
1580 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Technician/Technologist (Optician)
1580 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Pharmacist
1580 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Dentist
1580 BRANAN FIELD RD
MIDDLEBURG, FL 32068

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 Michael Jordan's NPI number?

The NPI number for Michael Jordan is 1063104982. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Michael Jordan located?

Michael Jordan practices at 1580 Branan Field Rd, Middleburg, FL 32068. The listed phone number is (904) 214-9102.

What is Michael Jordan's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Michael Jordan was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.