MICHAEL D GORDON OD PA (NPI# 1497840565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497840565 |
| Entity Type | Organization |
| Organization Name | MICHAEL D GORDON OD PA |
| Practice Address |
110 N Washington Ave Wellington KS 67152-3949 |
| Practice Telephone | 6203262020 |
| Practice Fax Number | 6203266350 |
| Mailing Telephone | 6203262020 |
| Mailing Fax Number | 6203266350 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL D GORDON (PRESIDENT) |
| Authorized Official Telephone | 3166842020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10462 MICHAEL D | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | DD8359 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306931472 | Michael D Gordon Od Pa | Optometrist | 1221 N Rock Rd, Derby, KS 67037-3678 | 2006-10-04 |
| 1306943519 | Michael D Gordon Od Pa | Optometrist | 8100 E 22nd St N, Bldg 1600, Wichita, KS 67226 | 2006-09-20 |
| Street Address |
110 N WASHINGTON AVE |
| City | WELLINGTON |
| State | KS |
| Zip Code | 67152-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205131299 | Vision Doctors, LLC | Optometrist | 110 N Washington Ave, Wellington, KS 67152-3949 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373556 | Khan Noohani Md Pa | Psychiatric Unit | 1323 North A Street, Sumner Regional Medical Center, Wellington, KS 67152 | 2014-03-13 |
| 1114266293 | Symmetris, P.a. | Dentist | 122 E. Lincoln, Wellington, KS 67152 | 2013-02-08 |
| 1851485502 | Wellington Family Dentistry | Dentist | 119 East Lincoln, Wellington, KS 67152 | 2006-10-03 |
| 1073553871 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1111 W 8th St, Wellington, KS 67152 | 2006-06-08 |
| 1629071816 | City of Wellington | Emergency Medical Technician, Basic | 200 North C Street, Suite 200, Wellington, KS 67152 | 2005-05-23 |
| 1356861355 | E.b. Enterprises LLC | Assisted Living Facility | 401 N Woodlawn St, Wellington, KS 67152 | 2017-06-21 |
| 1184753113 | Angela L Baker | Social Worker | 1601 W 16th St, Wellington, KS 67152 | 2007-03-05 |
| 1275619504 | Sumner Mental Health Center | Counselor | 1601 West 16th Street, Wellington, KS 67152 | 2006-10-30 |
| 1629352877 | Cherished Friends LLC | Assisted Living Facility | 924 S Washington Ave, Wellington, KS 67152-2201 | 2011-10-06 |
| 1427009612 | Ggnsc Wellington LLC | Skilled Nursing Facility | 102 W Botkin St, Wellington, KS 67152-2302 | 2006-05-13 |
| Find all providers in zip 67152 | ||||
| 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 |
|---|---|---|---|---|
| 1649890492 | Suzanna Karen Wolski | Optometrist | 10445 Galleria St, Wellington, FL 33414-3157 | 2020-04-22 |
| 1548727381 | Eye & Ear of Wellington LLC | Optometrist | 11924 West Forest Hill Blvd Ste 31, Wellington, FL 33414-6258 | 2019-02-28 |
| 1063920130 | The Cleveland Clinic Foundation | Optometrist | 805 Patriot Dr Ste E, Wellington, OH 44090-8951 | 2018-01-11 |
| 1285997510 | Helen Abdal Od Pa | Optometrist | 10660 Forest Hill Blvd, Suite 210, Wellington, FL 33414-3170 | 2012-06-21 |
| 1174853824 | Mark A Plumb Od Pa | Optometrist | 10652 Old Hammock Way, Wellington, FL 33414-3148 | 2009-12-31 |
| 1518195353 | Elena L. Monks | Optometrist | 2545 S State Road 7 # 10, Wellington, FL 33414-9323 | 2009-07-01 |
| 1538302203 | Michelle E. Collier | Optometrist | 2205 State Road 7, Suite 400, Wellington, FL 33414 | 2009-04-10 |
| 1245480508 | En Hui Ko | Optometrist | 157 S State Road 7, #104, Wellington, FL 33414-4384 | 2008-09-23 |
| 1780870311 | Catalina Ruiz | Optometrist | 13860 Wellington Trce Ste 3, Wellington, FL 33414-8589 | 2007-09-18 |
| 1912021650 | Ronald Steven Smith | Optometrist | 9304 Forest Hill Blvd, Wellington, FL 33411-6577 | 2007-03-19 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 67152 |
Please comment or provide details below to improve the information on MICHAEL D GORDON OD PA.
| 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.