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

Jordan Scott Ewert, OD

Individual provider Optometrist · NPI 1124374426

Jordan Scott Ewert, OD is an Optometry in Shawnee, Oklahoma. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2012
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

2109 N Kickapoo Ave
Shawnee, OK 74804-2732
Phone: (405) 275-2020
Fax: (405) 275-4129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2728 (OK)

Record details

NPI number1124374426
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 24, 2012
Last updated in NPPESOctober 19, 2016

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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