MICHAEL D GORDON (NPI# 1699870212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699870212 |
| Entity Type | Individual |
| Full Name | MICHAEL D GORDON |
| Credential | OD |
| Practice Address |
8100 E 22nd St N Bldg 1600 Wichita KS 67226 |
| Practice Telephone | 3166842020 |
| Practice Fax Number | 3166867307 |
| Mailing Telephone | 3166842020 |
| Mailing Fax Number | 3166867307 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10462 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA MEDICARE | 0254820002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1225562622 | Michael Don Gordon | Clinical Nurse Specialist | 373 Breezeel School Rd, Benton, KY 42025-5376 | 2017-04-12 |
| 1275981805 | Michael Gordon | Community Health Worker | 659 E Jefferson St, Freeport, IL 61032-6027 | 2016-05-24 |
| 1104263342 | Michael Adam Gordon | Specialist/Technologist | 3802 Isabella Ave, Cincinnati, OH 45209-2112 | 2013-05-29 |
| 1902961410 | Michael Gordon | Psychiatry & Neurology | 23 Knott Dr, Glen Cove, NY 11542-4116 | 2006-12-26 |
| 1851407027 | Michael Anthony Gordon | Dentist | 829 Main St, Schererville, IN 46375-1100 | 2006-08-21 |
| 1801807912 | Michael A Gordon | Optometrist | 3901 Nw 79th Ave Ste 105, Doral, FL 33166-6554 | 2006-08-11 |
| 1821042433 | Michael Edward Gordon | Dentist | 635 Chicago Ave, Evanston, IL 60202 | 2006-05-19 |
| 1609842053 | Michael Charles Gordon | Obstetrics & Gynecology | 801 North 29th Street, Billings, MT 59101-5100 | 2006-02-26 |
| Street Address |
8100 E 22ND ST N BLDG 1600 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952377830 | Lucynda J Raben | Dentist | 8100 E 22nd St N, Building 100, Suite 1, Wichita, KS 67226-2388 | 2006-02-28 |
| 1205371473 | Columbus B. Bryant, Psyd, LLC | Psychologist | 8100 E 22nd St N, Building 1400-1, Wichita, KS 67226-2388 | 2016-12-27 |
| 1326499237 | Heather L. Holcomb, Lscsw, LLC | Social Worker | 8100 E 22nd St N, Building 100 Suite 2, Wichita, KS 67226-2388 | 2016-06-22 |
| 1982002234 | Elizabeth Farley Miller | Marriage & Family Therapist | 8100 E 22nd St N, Building 800 Suite 100, Wichita, KS 67226-2388 | 2014-12-18 |
| 1306256532 | Aba and Mental Health Services LLC | Psychologist | 8100 E 22nd St N, Ste 1600b, Wichita, KS 67226 | 2014-04-28 |
| 1801228887 | Jennifer M Hernandez | Marriage & Family Therapist | 8100 E 22nd St N, Building 800, Suite 100, Wichita, KS 67226-2388 | 2013-08-01 |
| 1326470527 | Lindsay D. Mullins | Marriage & Family Therapist | 8100 E 22nd St N, Bldg 800 Suite 100, Wichita, KS 67226-2388 | 2013-07-30 |
| 1659632982 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 8100 E 22nd St N, Bldg 800, Suite 103, Wichita, KS 67226-2388 | 2012-06-04 |
| 1013288596 | Courtney E. Johnson, Ph.d. L.L.C. | Psychologist | 8100 E 22nd St N, Bldg 1, Suite 2, Wichita, KS 67226-2388 | 2012-01-16 |
| 1588969570 | M.d. Gordon O.d., LLC | Optometrist | 8100 E 22nd St N, Bldg. 1600, Wichita, KS 67226-2388 | 2011-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| 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 |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1861040909 | Larisa Rivera | Optometrist | 949 S Glendale St, Wichita, KS 67218-3210 | 2019-09-02 |
| 1427612084 | Kansas Physicians Eyecare Group, P.C. | Optometrist | 438 S Rock Rd, Wichita, KS 67207-1150 | 2019-04-29 |
| 1396213799 | Wichita Optometry, P.a. | Optometrist | 2330 N Amidon Ave, Wichita, KS 67204-5630 | 2018-11-05 |
| 1710463500 | Macey Pruett | Optometrist | 982 N Tyler Rd Ste A, Wichita, KS 67212-3271 | 2018-07-14 |
| 1295116333 | Jedediah Reece | Optometrist | 7570 W 21st St N Ste 1002, Wichita, KS 67205-1763 | 2015-06-15 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1427498047 | Vanlang Q Huynh | Optometrist | 7700 E Kellogg Dr Ste 703a, Wichita, KS 67207-1787 | 2013-06-27 |
| 1063790145 | Megan Nichole Baldwin | Optometrist | 2146 N Collective Ln, 110, Wichita, KS 67206-3573 | 2011-07-24 |
| 1649578402 | Lentz Enterprises, LLC | Optometrist | 670 E 47th St S, Wichita, KS 67216-1769 | 2011-03-03 |
| Find all providers in WICHITA | ||||
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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.