Louis Ira Gordon is a Optometrist in Vienna, Virginia. Louis Ira Gordon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Louis Ira Gordon is 1629075197. The last update date is 2014-12-03.
Louis Ira Gordon's current location address is 1950 Old Gallows Rd, Vienna, Virginia. You can contact this provider via phone number 7038478899 and fax number 7039910514. The mailing address for Louis Ira Gordon is 1950 Old Gallows Rd, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Louis Ira Gordon |
|---|---|
| Address | 1950 Old Gallows Rd, Vienna, Virginia |
| Phone Number | 7038478899 |
| Fax Number | 7039910514 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1629075197 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2014-12-03 |
Provider Mailing Address Detail
| Address | 1950 Old Gallows Rd |
|---|---|
| City | Vienna |
| State | Virginia (VA) |
| Post Code | 221823990 |
| Phone Number | 7038478899 |
| Fax Number | 7039910514 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | TA0647 |
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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 |
|---|---|---|---|
| 923640001 | MD | DMERC A DME REGION A | |
| 410031313 | MD | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Louis Ira Gordon's 1629075197?
The Louis Ira Gordon's NPI (National Provider Identifier) Number is 1629075197. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Louis Ira Gordon is physically located?
The Louis Ira Gordon is physically situated at the following address: 1950 Old Gallows Rd, Vienna, VA, 221823990.
What is the Louis Ira Gordon's specialty and taxonomy code?
The Louis Ira Gordon's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When did Louis Ira Gordon receive its 1629075197 assignment?
The Louis Ira Gordon was assigned its 1629075197 on 2005-06-30, which is the date when this unique identifier was issued to the organization.
When was the Louis Ira Gordon's information last updated?
The Louis Ira Gordon's information was last updated on 2014-12-03.