What is Michael Jordan's NPI number?

Michael Jordan's National Provider Identifier (NPI) is 1063104982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Jordan's specialty?

Michael Jordan is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).

Where is Michael Jordan located?

Michael Jordan's practice location on file with NPPES is 1580 Branan Field Rd, Middleburg, FL 32068-8427.

What is Michael Jordan's phone number?

The practice phone number listed in the NPPES registry for Michael Jordan is (904) 214-9102.

Is Michael Jordan's NPI active?

Yes — Michael Jordan's NPI (1063104982) is active in the NPPES registry as of the last update on 2023-05-22.

IndividualActive

Michael Jordan, LDO

NPI 1063104982 · Optician · Middleburg, FL

Michael Jordan, LDO is a Optician provider in Middleburg, FL (NPI 1063104982).

Provider details

NPI number: 1063104982
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Credential: LDO
Sex: Male
Sole proprietor: Yes
License: DO5422 (FL)

Specialties & taxonomies

OpticianPrimary156FX1800XLicense DO5422 (FL)
Eye and Vision Services Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1580 Branan Field Rd

Middleburg, FL 32068-8427

Phone: (904) 214-9102

Fax: (904) 214-9054

Street-level locationGet directions

More FL providers

Mailing address