Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Kain Stidham, OD

Individual provider Optometrist · NPI 1578016184

Jordan Kain Stidham, OD is an Optometry in Minneapolis, Minnesota. Graduated from Ohio State University - College of Optometry in 2016, 10 years ago. Practices with Eagan Eye Clinic LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Minnesota and Ohio.

Years since qualifying
10
Trained at
Ohio State University - College of Optometry
Licensed in
MN, OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

225 SE Main St
Minneapolis, MN 55414-2124
Phone: (612) 379-1555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3735 (MN)
Optometrist Taxonomy 152W00000X · Licence OPT.6498 (OH)

Record details

NPI number1578016184
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 31, 2016
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Eagan Eye Clinic Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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