Michael D Gordon Od Pa in Derby - Optometrist
Michael D Gordon Od Pa - NPI 1306931472
Michael D Gordon Od Pa is a Optometrist in Derby, Kansas. Michael D Gordon Od Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael D Gordon Od Pa is 1306931472. The last update date is 2008-02-25.
Michael D Gordon Od Pa's current location address is 1221 N Rock Rd, Derby, Kansas. You can contact this provider via phone number 3167882020 and fax number 3167887451. The mailing address for Michael D Gordon Od Pa is 1221 N Rock Rd, Derby, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael D Gordon Od Pa |
|---|---|
| Address | 1221 N Rock Rd, Derby, Kansas |
| Phone Number | 3167882020 |
| Fax Number | 3167887451 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gordon D Michael |
| Credentials | OD |
| Telephone Number | 3166842020 |
NPI Number Detail
| NPI Number | 1306931472 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 1221 N Rock Rd |
|---|---|
| City | Derby |
| State | Kansas (KS) |
| Post Code | 670373678 |
| Phone Number | 3167882020 |
| Fax Number | 3167887451 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 10462 MICHAE |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Michael D Gordon Od Pa?
The Michael D Gordon Od Pa has been issued the NPI (National Provider Identifier) 1306931472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Michael D Gordon Od Pa is physically located?
The Michael D Gordon Od Pa is situated at the following address: 1221 N Rock Rd, Derby, KS 670373678.
What is Michael D Gordon Od Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael D Gordon Od Pa is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306931472 to Michael D Gordon Od Pa?
The Michael D Gordon Od Pa received its 1306931472 assignment from the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the Michael D Gordon Od Pa's details last updated?
The information pertaining to the Michael D Gordon Od Pa, including its address, specialty, and other details, was most recently updated on 2008-02-25.