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RANDALL W JORDAN OD PC
NPI 1811098767
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: August 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall W Jordan Od Pc NPPES

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

RANDALL W JORDAN OD PC (NPI 1811098767) is a healthcare organization registered as an optometrist in Cordele, Georgia and active in the NPI registry since September 2006. The organization lists Randall W Jordan, President, as its authorized official.

NPPES Registry Identity

NPI1811098767
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameRANDALL W JORDAN OD PC
Location Address1107 E SOUTH GREER STREETCordele, GA 31015
Mailing AddressPo Box 5103Cordele, GA 31010-5103 · (229) 273-0018 · Fax (229) 273-0102
Phone(229) 273-0018
Fax(229) 273-0102
Organization SubpartNo
Authorized OfficialRandall W JordanPresident · (229) 273-0018
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 30, 2013
✔ NPI 1811098767 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
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Other Identifiers 4

Medicare PINGRP6776GA
Medicaid00414455FGA
Medicare PIN41ZCFQMGA
Medicare UPINU22421

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

RANDALL W JORDAN OD
Optometrist
1107 E SOUTH GREER STREET
CORDELE, GA 31015
Crisp County (229) 273-0018

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 W Jordan Od PC's NPI number?

The NPI number for Randall W Jordan Od PC is 1811098767. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Randall W Jordan Od PC located?

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

What is Randall W Jordan Od PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Randall W Jordan Od PC was last updated on August 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.