Dr Michael Wade Jorgensen, OD - Optometrist in Benton, LA

Dr Michael Wade Jorgensen, OD is a Optometrist based in Benton, Louisiana. Dr Michael Wade Jorgensen is licensed to practice in Louisiana (license number 1590-623T) and his current practice location is 187 Burt Blvd, Ste A, Benton, Louisiana. He can be reached at his office (for appointments etc.) via phone at (318) 935-5080.

NPI number for Dr Michael Wade Jorgensen is 1558675157 and his current mailing address is 187 Burt Blvd, Ste A, Benton, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558675157.

Contact Information

Dr Michael Wade Jorgensen, OD
187 Burt Blvd, Ste A,
Benton, LA 71006-4905
(318) 935-5080
(318) 935-5085



Healthcare Provider's Profile

Full NameDr Michael Wade Jorgensen
GenderMale
SpecialityOptometrist
Location187 Burt Blvd, Benton, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558675157
  • Provider Enumeration Date: 08/06/2010
  • Last Update Date: 11/16/2016

Medical Identifiers

Medical identifiers for Dr Michael Wade Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558675157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1590-623T (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Wade Jorgensen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 9 days ago


Optometrist in Benton, LA

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

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