Provider Demographics
NPI:1013082494
Name:KAY, JORDAN MILES (OD)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:MILES
Last Name:KAY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5621 COACH HOUSE CIR
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-8686
Mailing Address - Country:US
Mailing Address - Phone:561-362-9849
Mailing Address - Fax:239-275-3780
Practice Address - Street 1:4125 CLEVELAND AVE
Practice Address - Street 2:SUITE #113
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-9046
Practice Address - Country:US
Practice Address - Phone:239-939-5393
Practice Address - Fax:239-275-3780
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL1757152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management