Theodore B Gordon Od in Ludlow - Eyewear Supplier
Theodore B Gordon Od - NPI 1689844276
Theodore B Gordon Od is a Eyewear Supplier in Ludlow, Massachusetts. Theodore B Gordon Od practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Theodore B Gordon Od is 1689844276. The last update date is 2008-03-20.
Theodore B Gordon Od'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 B Gordon Od is 354 Sewall St, Ludlow, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Theodore B Gordon Od |
|---|---|
| Address | 354 Sewall St, Ludlow, Massachusetts |
| Phone Number | 4135832260 |
| Fax Number | 4135833957 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER /OPT |
|---|---|
| Authorized Official Name | Gordon B Theodore |
| Credentials | OD |
| Telephone Number | 4135832260 |
NPI Number Detail
| NPI Number | 1689844276 |
|---|---|
| Provider Enumeration Date | 2008-03-10 |
| Last Updated Date | 2008-03-20 |
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 | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 2253 |
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Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the unique identifier code issued to Theodore B Gordon Od by the Centers for Medicare & Medicaid Services?
The Theodore B Gordon Od has been assigned the NPI (National Provider Identifier) 1689844276. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Theodore B Gordon Od located?
The Theodore B Gordon Od is located at 354 Sewall St, Ludlow, MA 10562711.
What is Theodore B Gordon Od's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theodore B Gordon Od's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.
When did Theodore B Gordon Od receive its 1689844276 assignment?
The Theodore B Gordon Od was assigned its 1689844276 on 2008-03-10, which is the date when this unique identifier was issued to the organization.
As of what date were the Theodore B Gordon Od's details last updated?
The information pertaining to the Theodore B Gordon Od, including its address, specialty, and other details, was most recently updated on 2008-03-20.