Gordon, Michael D

Gordon, Michael D is an individual health care provider with primary practice located at 8100 E 22Nd St N Bldg 1600, Wichita KS 67226. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gordon, Michael D can be contacted via phone (316) 684-2020.

Contact Information

Primary practice address
8100 E 22Nd St N Bldg 1600 Wichita KS 67226
Phone: (316) 684-2020
Fax: (316) 686-7307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10462 Kansas

Profile Details

NPI number 1699870212
LBN Legal business name Gordon, Michael D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1699870212 NPPES
Other 0254820002 CIGNA MEDICARE

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