Theodore Bennett Gordon in Ludlow - Optometrist
Theodore Bennett Gordon - NPI 1568455962
Theodore Bennett Gordon is a Optometrist in Ludlow, Massachusetts. Theodore Bennett Gordon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Theodore Bennett Gordon is 1568455962. The last update date is 2008-01-17.
Theodore Bennett Gordon's current location address is 354 Sewall St, Ludlow, Massachusetts. You can contact this provider via phone number 4135832260 and fax number 4135833957. The mailing address for Theodore Bennett Gordon is 354 Sewall St, Ludlow, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Bennett Gordon |
|---|---|
| Address | 354 Sewall St, Ludlow, Massachusetts |
| Phone Number | 4135832260 |
| Fax Number | 4135833957 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1568455962 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 354 Sewall St |
|---|---|
| City | Ludlow |
| State | Massachusetts (MA) |
| Post Code | 10562711 |
| Phone Number | 4135832260 |
| Fax Number | 4135833957 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2253 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 306452 | MA | -- |
Post Comment/ Review Below
What is the Theodore Bennett Gordon's unique identification number?
The Theodore Bennett Gordon has been assigned the NPI (National Provider Identifier) Number 1568455962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Theodore Bennett Gordon is physically located?
The Theodore Bennett Gordon is situated at the following address: 354 Sewall St, Ludlow, MA 10562711.
What is the Theodore Bennett Gordon's area of specialization and corresponding taxonomy classification?
The Theodore Bennett Gordon's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1568455962 assigned to Theodore Bennett Gordon?
The Theodore Bennett Gordon was issued its 1568455962 on 2005-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Theodore Bennett Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theodore Bennett Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-17.