DR. TIMOTHY EUGENE GORDON (NPI# 1053324988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053324988 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY EUGENE GORDON |
| Credential | O.D. |
| Practice Address |
5701 Herrera Dr Santa Fe NM 87507-2677 |
| Mailing Address |
Po Box 22683 Santa Fe NM 87502-2683 |
| Practice Telephone | 5054249139 |
| Practice Fax Number | 5054241384 |
| Mailing Telephone | 5756394767 |
| Mailing Fax Number | 5054241384 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2274 | NM | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000P4328 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699247833 | Timothy Gordon | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2018-12-28 |
| 1447669130 | Timothy Gordon | Pharmacist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2014-08-06 |
| 1083920474 | Timothy David Gordon | Psychologist | 4102 Ben Franklin Blvd, Durham, NC 27704-2140 | 2010-08-24 |
| 1548338163 | Timothy R Gordon | Clinic/Center | 760 Hospital Circle, Browning, MT 59417-0760 | 2006-12-01 |
| 1750320453 | Timothy E Gordon | Ophthalmology | 1050 N James Campbell Blvd Ste 100, Columbia, TN 38401-2754 | 2006-06-06 |
| Street Address |
5701 HERRERA DR |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178075 | Mercedes D Martinez | Pharmacist | 5701 Herrera Dr, Santa Fe, NM 87507-2677 | 2020-09-10 |
| 1871147934 | Maria Elizabeth Mercer | Pharmacist | 5701 Herrera Dr, Santa Fe, NM 87507-2677 | 2019-07-27 |
| 1982185310 | Shaun Michael Nalamlieng | Pharmacist | 5701 Herrera Dr, Santa Fe, NM 87507-2677 | 2018-08-23 |
| 1811414154 | Amin Eizadkhah | Pharmacist | 5701 Herrera Dr, Santa Fe, NM 87507-2677 | 2017-08-28 |
| 1528341898 | Wal-mart Stores East Lp | Technician/Technologist | 5701 Herrera Dr, Santa Fe, NM 87507 | 2011-09-23 |
| 1851671028 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5701 Herrera Dr, Santa Fe, NM 87507-2677 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245763929 | Idoc, Inc | Optometrist | 3811 Cerrillos Rd Ste 103, Ste 103, Santa Fe, NM 87507-4112 | 2017-04-10 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1134450240 | Eye Design LLC | Optometrist | 41 Monterey Rd, Santa Fe, NM 87508-8288 | 2010-01-29 |
| 1417107004 | Four Points Eye Center, PC | Optometrist | 4250 Cerrillos Rd Ste 1272, Santa Fe, NM 87507-0954 | 2008-09-19 |
| 1528254026 | Jonathan Daniel Botwin | Optometrist | 444 Saint Michaels Dr Ste A, Santa Fe, NM 87505-7674 | 2007-09-18 |
| 1518015015 | Bruce Rael | Optometrist | 3022 Cielo Ct, Ste A, Santa Fe, NM 87507 | 2007-01-08 |
| 1912061086 | Accent On Vision, Santa Fe LLC | Optometrist | 1409 Luisa St Ste D, Santa Fe, NM 87505-7003 | 2006-12-21 |
| 1881771079 | Mark Alan Rasmussen | Optometrist | 1460 S Saint Francis Dr, 1460 S Saint Francis Dr, Santa Fe, NM 87505-4038 | 2006-11-01 |
| 1427152743 | Roosevelt G Brasseur | Optometrist | 4038 Painted Pony Cir, Santa Fe, NM 87507-8447 | 2006-09-08 |
| 1962516039 | Dwight Thibodeaux | Optometrist | 1409 Luisa St, Suite D, Santa Fe, NM 87505-7002 | 2006-08-18 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.