MEDICARE: DR. JESSICA MAYA JORDAN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC5812	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548884448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA MAYA JORDAN OD

Provider Business Mailing Address
First Line	:	1648 TAYLOR RD STE 413
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-6753
Country	:	US
Telephone Number	:	808-286-5529
Fax Number	:	386-478-7512

Provider Business Practice Location Address
First Line	:	5131 S RIDGEWOOD AVE STE A
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-5168
Country	:	US
Telephone Number	:	386-222-2991
Fax Number	:	386-478-7512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2020
Last Update Date	:	07/31/2025

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1790668614 — JESSICA JORDAN OD LLC
Practice Location Address:

5131 S RIDGEWOOD AVE STE A
PORT ORANGE, FL
32127-5168

Practice Phone: 386-222-2991
Practice Fax:

1972928091 — DR. JAMIE L MORRIS NEWCOMB DPT
Practice Location Address:

5594 RIVERSIDE DR
PORT ORANGE, FL
32127-5632

Practice Phone: 386-451-2833
Practice Fax:

1669624185 — PUBLIX SUPER MARKETS INC
Practice Location Address:

3821 S NOVA RD
PORT ORANGE, FL
32127-4950

Practice Phone: 386-756-4170
Practice Fax: 386-756-4606

1164085999 — RODY GEORGES BOU CHAAYA MD
Practice Location Address:

840 DUNLAWTON AVE STE A
PORT ORANGE, FL
32127-4224

Practice Phone: 734-718-8216
Practice Fax:

1386254738 — UPPERLINE HEALTHCARE, PC
Practice Location Address:

790 DUNLAWTON AVE STE C
PORT ORANGE, FL
32127-4222

Practice Phone: 386-788-6333
Practice Fax: 386-788-3993

Directions to “ DR. JESSICA MAYA JORDAN OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.