DR. CAROL E GORDON (NPI# 1134111966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134111966 |
| Entity Type | Individual |
| Full Name | DR. CAROL E GORDON |
| Credential | OD |
| Practice Address |
1156 Boston Post Rd Old Saybrook CT 06475-4405 |
| Practice Telephone | 8603882020 |
| Practice Fax Number | 8603880889 |
| Mailing Telephone | 8603882020 |
| Mailing Fax Number | 8603880889 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2009-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2039 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004097772 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902026743 | Carol Gordon | Social Worker | 2060 Montview Ln, Steamboat Springs, CO 80487-9090 | 2007-04-26 |
| 1518982362 | Carol Evelyn Gordon | Social Worker | 9443 Drake Ave, Evanston, IL 60203-1105 | 2006-07-13 |
| 1801116355 | Carol Gordon | Social Worker | 505 S Dewey St, Suite 208, Eau Claire, WI 54701-3704 | 2010-06-07 |
| 1295867489 | Carol M Gordon | Physical Therapist | 143 Bernice Dr, Bensenville, IL 60106-3366 | 2007-03-12 |
| 1366581738 | Carol Gordon | Physical Therapist | 1 Northwestern Dr, Suite101, Bloomfield, CT 06002-3400 | 2007-02-05 |
| 1346387818 | Carol Evelyn Gordon | Registered Nurse | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2007-01-31 |
| 1184632457 | Carol Ellen Gordon | Psychologist | 125 S Wilke Rd, Suite 200g, Arlington Heights, IL 60005-1534 | 2006-08-03 |
| 1235195926 | Carol D Gordon | Ophthalmology | 4 Burke Ln, Syosset, NY 11791-3931 | 2006-04-22 |
| Street Address |
1156 BOSTON POST RD |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200639 | Edward F. Pinn | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2005-07-26 |
| 1194249722 | Nicholas Paul Vezzoli | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2017-07-25 |
| 1619427911 | Stephanie Corinne Liebscher | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2016-10-11 |
| 1396037107 | Nikki Antoinette Yee | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2011-05-11 |
| 1770654584 | Elgart & Pinn Optometrists, P.C. | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2006-11-13 |
| 1669417325 | Jola Rzegocki | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2006-06-18 |
| 1043202872 | Matthew E Elgart | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2005-08-18 |
| 1770575508 | Monya D Elgart | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912464223 | Kathleen Malcolm | Physical Medicine & Rehabilitation | Apple Rehab Saybrook, 1775 Boston Post Rd, Old Saybrook, CT 06475 | 2019-02-22 |
| 1841661469 | Laura M. Shires, Lcsw, LLC | Social Worker | 24 Ledge Road, Old Saybrook, CT 06475 | 2015-10-08 |
| 1316323397 | Robyn Reilly | Nurse Practitioner | 1687 Rte 1, Old Saybrook, CT 06475 | 2015-08-03 |
| 1679858542 | Brandi Taylor | Counselor | 263 Main St., Suite 301, Old Saybrook, CT 06475 | 2011-10-11 |
| 1346545670 | Lucille Wymer Hartman | Mechanotherapist | 1775 Boston Post Road, Old Saybrook, CT 06475 | 2011-01-18 |
| 1508160631 | Whole Health Wellness, LLC | Clinic/Center | 139 Mill Rock Rd E Unit 1522, Old Saybrook, CT 06475 | 2011-01-04 |
| 1184948481 | Maria S. Foss-rand | Counselor | 251 Main St., Suite 100, Old Seybrook, CT 06475 | 2010-03-16 |
| 1467658161 | Rick Morant Dmd Ms LLC | Dentist | 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 | 2007-06-21 |
| 1174724801 | Richard P Benoit Dmd PC | Dentist | 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 | 2007-05-30 |
| 1194932392 | Omotayo Elizabeth Awujoola | Nurse Practitioner | 20 Research Parkway, Old Saybrook, CT 06475 | 2007-05-17 |
| Find all providers in zip 06475 | ||||
| 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 |
|---|---|---|---|---|
| 1093733347 | Matthew Stephen King | Optometrist | 761 Boston Post Rd, Old Saybrook, CT 06475-2126 | 2006-07-17 |
| 1942200639 | Edward F. Pinn | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2005-07-26 |
| 1316437304 | Maria Alexa Paradis | Optometrist | 761 Boston Post Rd, Old Saybrook, CT 06475-2126 | 2018-05-15 |
| 1194249722 | Nicholas Paul Vezzoli | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2017-07-25 |
| 1619427911 | Stephanie Corinne Liebscher | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2016-10-11 |
| 1396037107 | Nikki Antoinette Yee | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2011-05-11 |
| 1225183593 | Ann Margaret Moser | Optometrist | 105 Elm St, Unit 16 - Old Saybrook Shopping Center, Old Saybrook, CT 06475-4132 | 2007-01-24 |
| 1508925330 | King Family Eye Care, LLC | Optometrist | 761 Boston Post Rd, Old Saybrook, CT 06475-2126 | 2006-12-07 |
| 1770654584 | Elgart & Pinn Optometrists, P.C. | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2006-11-13 |
| 1669417325 | Jola Rzegocki | Optometrist | 1156 Boston Post Rd, Old Saybrook, CT 06475-4405 | 2006-06-18 |
| Find all providers in OLD SAYBROOK | ||||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
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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.