SearchLouisianaOptometrist

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 Llc
Inferred 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