Justin R Gordon is a Optometrist in Chicago, Illinois. Justin R Gordon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Justin R Gordon is 1366459711. The last update date is 2011-07-07.
Justin R Gordon's current location address is 3143 W Devon Ave, Chicago, Illinois. You can contact this provider via phone number 7737645300 and fax number 7737642810. The mailing address for Justin R Gordon is 3143 W Devon Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin R Gordon |
|---|---|
| Address | 3143 W Devon Ave, Chicago, Illinois |
| Phone Number | 7737645300 |
| Fax Number | 7737642810 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1366459711 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2011-07-07 |
Provider Mailing Address Detail
| Address | 3143 W Devon Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606591424 |
| Phone Number | 7737645300 |
| Fax Number | 7737642810 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46006849 |
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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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What is the unique provider identifier assigned to Justin R Gordon?
The Justin R Gordon has been issued the NPI (National Provider Identifier) 1366459711 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Justin R Gordon located?
The Justin R Gordon is located at 3143 W Devon Ave, Chicago, IL 606591424.
What is Justin R Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Justin R Gordon is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366459711 to Justin R Gordon?
The Centers for Medicare & Medicaid Services assigned the 1366459711 to Justin R Gordon on 2006-08-01.
As of what date were the details pertaining to Justin R Gordon last refreshed?
The information related to the Justin R Gordon, including its address, specialty, and other relevant details, was last updated on 2011-07-07.
NPI Number: 1720081763
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