Jonathan E Gordon Od Pa in Merritt Island - Optometrist

Jonathan E Gordon Od Pa - NPI 1255528584

Jonathan E Gordon Od Pa is a Optometrist in Merritt Island, Florida. Jonathan E Gordon Od Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jonathan E Gordon Od Pa is 1255528584. The last update date is 2007-10-01.

Jonathan E Gordon Od Pa's current location address is 777 E Merritt Island Cswy, Merritt Island, Florida. You can contact this provider via phone number 3214544800 and fax number 3214542019. The mailing address for Jonathan E Gordon Od Pa is 777 E Merritt Island Cswy, Merritt Island, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jonathan E Gordon Od Pa
Address 777 E Merritt Island Cswy, Merritt Island, Florida
Phone Number 3214544800
Fax Number 3214542019
Sole Proprietor --
Credentials --

Authorized Official

Title or Position P/D/C
Authorized Official Name Gordon E Jonathan
Credentials O.D.
Telephone Number 3214544800

NPI Number Detail

NPI Number 1255528584
Provider Enumeration Date 2007-10-01
Last Updated Date 2007-10-01

Provider Mailing Address Detail

Address 777 E Merritt Island Cswy
City Merritt Island
State Florida (FL)
Post Code 329523576
Phone Number 3214544800
Fax Number 3214542019

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OPC 3471
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

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FAQs about Jonathan E Gordon Od Pa

What is the unique identification code assigned to Jonathan E Gordon Od Pa by the Centers for Medicare & Medicaid Services?

The Jonathan E Gordon Od Pa has been issued the NPI (National Provider Identifier) 1255528584. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jonathan E Gordon Od Pa's facilities are situated?

The facilities of Jonathan E Gordon Od Pa are physically located at the following address: 777 E Merritt Island Cswy, Merritt Island, FL, 329523576.

What is Jonathan E Gordon Od Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jonathan E Gordon Od Pa'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 Jonathan E Gordon Od Pa receive the assignment of its 1255528584 from the Centers for Medicare & Medicaid Services?

The Jonathan E Gordon Od Pa was issued its 1255528584 by the Centers for Medicare & Medicaid Services on 2007-10-01.

When was the Jonathan E Gordon Od Pa's information last updated?

The Jonathan E Gordon Od Pa's information was last updated on 2007-10-01.

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