M.d. Gordon O.d., LLC

NPI #1255636817 in Derby, Kansas

Provider Information

NPI Number: 1255636817
Entity Type: Organization
Organization Name: M.d. Gordon O.d., LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 12, 2011
Last Updated: Oct 19, 2016

Practice Location

Address: 1221 N ROCK RD
City: Derby
State: Kansas
ZIP Code: 67037-3678
Phone: (316) 788-2020

Authorized Official

Name: MICHAEL D GORDON, O.D.
Title: PRESIDENT
Phone: (316) 788-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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