RENEE GORDON LLC (NPI# 1053724203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053724203 |
| Entity Type | Organization |
| Organization Name | RENEE GORDON LLC |
| Practice Address |
2405 Ashford Dr Albany GA 31721-9246 |
| Practice Telephone | 2293446117 |
| Mailing Telephone | 2293446117 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Authorized Official Name | RENEE CANDACE AHLMARK-GORDON (OWNER) |
| Authorized Official Telephone | 2293446117 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002136 | GA | Eye and Vision Services Providers |
| Street Address |
2405 ASHFORD DR |
| City | ALBANY |
| State | GA |
| Zip Code | 31721-9246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801354139 | Quintavius Martin | Physical Therapy Assistant | 2933 Stonewater Drive, Albany, GA 31721 | 2019-03-05 |
| 1851809180 | Dialysis Clinic Inc | Clinic/Center | 650 Pointe North Blvd, Albany, GA 31721 | 2018-01-22 |
| 1336668961 | Muntaisha Shunquill Ross | Contractor | 3718 Mayfair Lane, Apt B, Albany, GA 31721 | 2017-09-14 |
| 1861942252 | Winifred Davis | Contractor | 407 Wiregrass Way, Albany, GA 31721 | 2016-10-10 |
| 1023347937 | Southwest Oral and Maxillofacial Surgery,llc | Dentist | 620 Pointe North Boulevard, Albany, GA 31721 | 2009-12-24 |
| 1922203413 | John Ronald Andrews | Radiology | 2205 West Doublegate Drive, Albany, GA 31721 | 2007-06-15 |
| 1124147608 | Jeffrey R Singleton | Dentist | 602 Pointe North Blvd., Albany, GA 31721 | 2007-03-28 |
| 1508921883 | Thomas William Monahan IIi | Dentist | 609 Pointe North Blvd, Albany, GA 31721 | 2006-12-27 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| Find all providers in zip 31721 | ||||
| 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 |
|---|---|---|---|---|
| 1295213502 | Stephanie A. Kostakis | Optometrist | 8 Southwoods Blvd Ste 8, Albany, NY 12211-2554 | 2018-07-30 |
| 1902333578 | Amanda Golchin | Optometrist | 26 Campus View Dr, Albany, NY 12211-1404 | 2017-05-15 |
| 1689068686 | Downtown Eyecare LLC. | Optometrist | 315 Lyon St S, Albany, OR 97321-2810 | 2015-03-27 |
| 1518360528 | Michael Aoyama | Optometrist | 603 Santa Fe Ave, Albany, CA 94706-1441 | 2014-10-03 |
| 1538577309 | Vision Care of Albany Inc. | Optometrist | 256 Burkesville Rd, Albany, KY 42602-1604 | 2014-07-24 |
| 1053732628 | Trina Johnson | Optometrist | 526 W Broad Ave, Albany, GA 31701-2468 | 2013-12-26 |
| 1659650380 | Sampson Optical Corp. | Optometrist | 116 Wolf Rd, Albany, NY 12205-1184 | 2011-08-11 |
| 1265711543 | Denise Diana Saunders | Optometrist | 2825 Ledo Road, Vision Center Inside Wal-mart, Albany, GA 31707 | 2011-08-04 |
| 1487981197 | Kandi S. Moller, Od, LLC | Optometrist | 3031 Killdeer Ave Se, Albany, OR 97322-5325 | 2009-11-17 |
| 1396079281 | Stephanie Nicole Emmert | Optometrist | 609 Hickory St Nw Ste 160, Albany, OR 97321 | 2009-09-24 |
| Find all providers in ALBANY | ||||
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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.