Gordon, Susan Grace
Gordon, Susan Grace is an individual health care provider with primary practice located at 1301 E Calaveras Blvd , Milpitas CA 95035-5543. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gordon, Susan Grace can be contacted via phone (408) 263-2040.Contact Information
Primary practice address
1301 E Calaveras Blvd
Milpitas CA 95035-5543
Phone: (408) 263-2040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7200T | California |
Profile Details
| NPI number | 1891767604 |
|---|---|
| LBN Legal business name | Gordon, Susan Grace |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 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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