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Michael Jorgensen, OD
NPI 1558675157 · on the registry since 2010 · sole proprietor
Practice
- Address
- 187 Burt Blvd
Ste A
Benton, LA 71006 - Phone
- (318) 935-5080
- Fax
- (318) 935-5085
- Organisation at this address
- Vista Vision Llc
Dr. Michael Wade Jorgensen Od LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana