William David Gordon in Monroe - Sports Vision
William David Gordon - NPI 1528050069
William David Gordon is a Sports Vision in Monroe, Louisiana. William David Gordon practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for William David Gordon is 1528050069. The last update date is 2007-07-08.
William David Gordon's current location address is 3000 Forsythe Ave, Monroe, Louisiana. You can contact this provider via phone number 3183259474 and fax number 3183881868. The mailing address for William David Gordon is 3000 Forsythe Ave, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | William David Gordon |
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Address | 3000 Forsythe Ave, Monroe, Louisiana |
Phone Number | 3183259474 |
Fax Number | 3183881868 |
Sole Proprietor | Y |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1528050069 |
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Provider Enumeration Date | 2005-08-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3000 Forsythe Ave |
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City | Monroe |
State | Louisiana (LA) |
Post Code | 712013012 |
Phone Number | 3183259474 |
Fax Number | 3183881868 |
Provider's Primary Taxonomy Detail
Speciality | Sports Vision |
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Taxonomy | 152Ws0006X |
Licence No | LA909-230T |
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1337170 | LA | -- |
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What is the unique identification code assigned to William David Gordon by the Centers for Medicare & Medicaid Services?
The William David Gordon has been issued the NPI (National Provider Identifier) 1528050069. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where William David Gordon is located?
The William David Gordon is situated at the following address: 3000 Forsythe Ave, Monroe, LA, 712013012.
What is William David Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for William David Gordon is Sports Vision, and the taxonomy classification code that categorizes this area of expertise is 152Ws0006X.
On what date did William David Gordon receive its 1528050069 assignment from the Centers for Medicare & Medicaid Services?
The William David Gordon was assigned its 1528050069 on 2005-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to William David Gordon last refreshed?
The information related to the William David Gordon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.