David W Gordon in Burbank - Optometrist

David W Gordon - NPI 1992879407

David W Gordon is a Optometrist in Burbank, California. David W Gordon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for David W Gordon is 1992879407. The last update date is 2013-12-11.

David W Gordon's current location address is 851 N Hollywood Way, Burbank, California. You can contact this provider via phone number 8188422111 and fax number 8188424454. The mailing address for David W Gordon is 851 N Hollywood Way, Burbank, California. To know further, please read the information below!

Provider Profile Detail

Provider Name David W Gordon
Address 851 N Hollywood Way, Burbank, California
Phone Number 8188422111
Fax Number 8188424454
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1992879407
Provider Enumeration Date 2006-11-17
Last Updated Date 2013-12-11

Provider Mailing Address Detail

Address 851 N Hollywood Way
City Burbank
State California (CA)
Post Code 915052814
Phone Number 8188422111
Fax Number 8188424454

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 6675 TPA
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SD0066750 CA --
CM395A CA MEDICARE PTAN

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FAQs about David W Gordon

What is the unique identification code assigned to David W Gordon by the Centers for Medicare & Medicaid Services?

The David W Gordon has been issued the NPI (National Provider Identifier) 1992879407. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where David W Gordon is physically located?

The David W Gordon is situated at the following address: 851 N Hollywood Way, Burbank, CA 915052814.

What is David W Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David W Gordon's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1992879407 to David W Gordon?

The David W Gordon received its 1992879407 assignment from the Centers for Medicare & Medicaid Services on 2006-11-17.

As of what date was the information pertaining to David W Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David W Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-12-11.

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