MICHAEL D GORDON DD PA (NPI# 1871690073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871690073 |
| Entity Type | Organization |
| Organization Name | MICHAEL D GORDON DD PA |
| Practice Address |
701 N Goddard Road Goddard KS 67052 |
| Mailing Address |
Po Box 160 Goddard KS 67052 |
| Practice Telephone | 3167947800 |
| Practice Fax Number | 3167947801 |
| Mailing Telephone | 3167947800 |
| Mailing Fax Number | 3167947801 |
| Enumeration Date | 2006-09-20 |
| 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 |
|---|---|---|---|
| BCBS | 065096 | 01 |
| Street Address |
701 N GODDARD ROAD |
| City | GODDARD |
| State | KS |
| Zip Code | 67052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699232009 | Kimberly Dawn Presley | Counselor | 2517 E Casey Dr, Goddard, KS 67052 | 2019-02-22 |
| 1689103962 | Kimberley E Rowan | Social Worker | 125 Brazos, Goddard, KS 67052 | 2017-06-08 |
| 1649676800 | Kori Michelle Turney | Occupational Therapist | 1055 N. 199th St W, Goddard, KS 67052 | 2014-11-14 |
| 1326461575 | Midwest Building Suppy, Inc | Durable Medical Equipment & Medical Supplies | 201 E. 6th St. Cr., Goddard, KS 67052 | 2014-01-23 |
| 1518092022 | Jamie J. Arnold | Chiropractor | 228 N. Main St, Goddard, KS 67052 | 2007-02-23 |
| 1023079852 | Carolina M Soria | Family Medicine | 216 N Main, Goddard, KS 67052 | 2006-03-31 |
| 1841316619 | Preferred Medical Associates | Nurse Practitioner | 216 N Main, Goddard, KS 67052 | 2007-03-22 |
| 1215045463 | Stephen Joseph Arnold | Dentist | 204 N Main, Goddard, KS 67052 | 2006-08-28 |
| 1720124647 | Sedgwick County Area Ed Serv 618 | Local Education Agency (LEA) | 620 Industrial Rd, Goddard, KS 67052-7009 | 2007-01-29 |
| 1225470271 | Chrissy Usher | Occupational Therapist | 620 Industrial Rd, Goddard, KS 67052-7009 | 2013-07-18 |
| Find all providers in zip 67052 | ||||
| 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 |
|---|---|---|---|---|
| 1396040382 | Vision Doctors, LLC | Optometrist | 701 N Goddard Rd, Goddard, KS 67052-8861 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529197 | Drs Price Young Odle & Horsch Pa | Optometrist | 975 N Mur Len Rd Ste D, Olathe, KS 66062-1803 | 2020-08-19 |
| 1174141303 | Megan Anne Williams | Optometrist | 21 N 12th St Ste 102, Kansas City, KS 66102-5172 | 2020-07-14 |
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1679123590 | Acuity Vision Center LLC | Optometrist | 11114 S Lone Elm Rd, Olathe, KS 66061-9434 | 2019-09-12 |
| 1861040909 | Larisa Rivera | Optometrist | 949 S Glendale St, Wichita, KS 67218-3210 | 2019-09-02 |
| 1306493044 | Steven Bartholomew Od, LLC | Optometrist | 809 N 3rd St Ste 200, Manhattan, KS 66502-6702 | 2019-08-19 |
| 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 |
| 1073090742 | Eyesmile Vision LLC | Optometrist | 1300a Main St, Hays, KS 67601-3658 | 2018-07-25 |
| 1710463500 | Macey Pruett | Optometrist | 982 N Tyler Rd Ste A, Wichita, KS 67212-3271 | 2018-07-14 |
| Find all providers with the same taxonomy | ||||
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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.