Michael D Gordon Od Pa

LBN: Michael D Gordon Od Pa
Michael D Gordon Od Pa is an health care organization with primary practice located at 1221 N Rock Rd , Derby KS 67037-3678. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Michael D Gordon Od Pa can be contacted via phone (316) 788-2020, or through Gordon, Michael D via phone (316) 684-2020.

Contact Information

Primary practice address
1221 N Rock Rd Derby KS 67037-3678
Phone: (316) 788-2020
Fax: (316) 788-7451
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Michael D Doctor of Optometry (OD)
Phone: (316) 684-2020

Health care specialties

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

Profile Details

NPI number 1306931472
LBN Legal business name Michael D Gordon Od Pa
DBA Doing business as
Authorized official Gordon, Michael D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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