Dr Michael Wade Jorgensen, OD | |
187 Burt Blvd, Ste A, Benton, LA 71006-4905 | |
(318) 935-5080 | |
(318) 935-5085 |
Full Name | Dr Michael Wade Jorgensen |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 187 Burt Blvd, Benton, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558675157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1590-623T (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Wade Jorgensen, OD 187 Burt Blvd, Ste A, Benton, LA 71006-4905 Ph: (318) 935-5080 | Dr Michael Wade Jorgensen, OD 187 Burt Blvd, Ste A, Benton, LA 71006-4905 Ph: (318) 935-5080 |
News Archive
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› Verified 9 days ago
Dr. Michael Wade Jorgensen Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 187 Burt Blvd, Ste A, Benton, LA 71006 Phone: 318-935-5080 Fax: 318-935-5085 |