Mark Jay Gordon is a Optometrist in Kenmore, New York. Mark Jay Gordon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark Jay Gordon is 1568420099. The last update date is 2017-10-18.
Mark Jay Gordon's current location address is 978 Colvin Blvd, Kenmore, New York. You can contact this provider via phone number 7168710074 and fax number 7168988973. The mailing address for Mark Jay Gordon is 978 Colvin Blvd, Kenmore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jay Gordon |
|---|---|
| Address | 978 Colvin Blvd, Kenmore, New York |
| Phone Number | 7168710074 |
| Fax Number | 7168988973 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1568420099 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2017-10-18 |
Provider Mailing Address Detail
| Address | 978 Colvin Blvd |
|---|---|
| City | Kenmore |
| State | New York (NY) |
| Post Code | 142172128 |
| Phone Number | 7168710074 |
| Fax Number | 7168988973 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | NY TUV004506 |
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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 10-digit identifier code assigned to Mark Jay Gordon by the Centers for Medicare & Medicaid Services?
The Mark Jay Gordon has been issued the NPI (National Provider Identifier) 1568420099 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Mark Jay Gordon located?
The Mark Jay Gordon is located at 978 Colvin Blvd, Kenmore, NY 142172128.
What is Mark Jay Gordon's area of expertise and its corresponding taxonomy classification?
The Mark Jay Gordon's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark Jay Gordon receive its 1568420099 assignment from the Centers for Medicare & Medicaid Services?
The Mark Jay Gordon was assigned its 1568420099 by the Centers for Medicare & Medicaid Services on 2006-05-03.
When was the information regarding Mark Jay Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Jay Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-10-18.