Michael D Gordon Od PA

NPI #1306943519 in Wichita, Kansas

Provider Information

NPI Number: 1306943519
Entity Type: Organization
Organization Name: Michael D Gordon Od PA
Primary Specialty: Optometrist
Enumeration Date: Sep 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8100 E 22ND ST N
Address 2: BLDG 1600
City: Wichita
State: Kansas
ZIP Code: 67226
Phone: (316) 684-2020

Authorized Official

Name: MICHAEL D GORDON, OD
Title: PRESIDENT
Phone: (316) 684-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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