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Jessica Jordan Od LLC

NPI 1790668614ActiveOrganization· Optometrist· Port Orange, FL

Optometrist in Port Orange, Florida, registered in NPPES in July 2025. The authorized official on file is Jessica Maya Jordan, OD, Ceo.

Overview

NPI1790668614
StatusActive
Entity typeOrganization
NPI issuedJul 29, 2025
Last updated in NPPESAug 3, 2025
Certified by providerAug 3, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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