Gordon, Gail C

Gordon, Gail C is an individual health care provider with primary practice located at 225 E Lee Ave , Yadkinville NC 27055. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gordon, Gail C can be contacted via phone (336) 679-2931.

Contact Information

Primary practice address
225 E Lee Ave Yadkinville NC 27055
Phone: (336) 679-2931
Fax: (336) 677-6486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1931 North Carolina

Profile Details

NPI number 1417940552
LBN Legal business name Gordon, Gail C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417940552 NPPES
North Carolina Other 1931 OD LICENSE
North Carolina Other 2474157B OD LICENSE
North Carolina Other 511078 OD LICENSE
North Carolina Other 2474157C OD LICENSE
North Carolina MEDICAID 5905423 OD LICENSE
North Carolina Other 1417940552 OD LICENSE

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