DR. Theodore Bennett Gordon, O.D.

NPI #1568455962 in Ludlow, Massachusetts

Provider Information

NPI Number
1568455962
Entity Type
Individual
Name
DR. Theodore Bennett Gordon, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 31, 2005
Last Updated
Jan 17, 2008

Practice Location

Address
354 SEWALL ST
Address 2
CENTERGATE COMMONS
City
Ludlow
ZIP Code
01056-2711
Phone
(413) 583-2260

Specialties & Taxonomy Codes

Specialty
Optometrist

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