William David Gordon in Monroe - Low Vision Rehabilitation

William David Gordon - NPI 1528050069

William David Gordon is a Low Vision Rehabilitation in Monroe, Louisiana. William David Gordon practices all healthcare services and medical treatments related to Low Vision Rehabilitation. 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
Address 3000 Forsythe Ave, Monroe, Louisiana
Phone Number 3183259474
Fax Number 3183881868
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1528050069
Provider Enumeration Date 2005-08-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3000 Forsythe Ave
City Monroe
State Louisiana (LA)
Post Code 712013012
Phone Number 3183259474
Fax Number 3183881868

Provider's Primary Taxonomy Detail

Speciality Low Vision Rehabilitation
Taxonomy 152Wl0500X
Licence No LA909-230T
Definition:
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1337170 LA --

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FAQs about William David Gordon

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 Low Vision Rehabilitation, and the taxonomy classification code that categorizes this area of expertise is 152Wl0500X.

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.

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