Renee C Gordon (NPI# 1376539445, PAC ID# 0648164327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1376539445 |
| PAC ID by PECOS | 0648164327 |
| Professional Enrollment ID | I20040212000368 |
| Full Name | Renee C Gordon |
| Organization Legal Name | LEE COUNTY OPTICAL LLC |
| Address |
1569 Hwy 19 S Leesburg GA 31763 |
| Phone Number | 2294391200 |
| Gender | F |
| Credential | OD |
| Graduation Year | 2003 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7214124098 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1569 Hwy 19 S, Leesburg, GA 31763 | 2294391200 | LEE COUNTY OPTICAL LLC |
| Organization Legal Name | LEE COUNTY OPTICAL LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Gordon | Optometry | Lee County Optical LLC | 1569 Hwy 19 S, Leesburg, GA 31763 |
| Street Address |
1569 HWY 19 S |
| City | LEESBURG |
| State | GA |
| Zip | 31763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Gordon | Optometry | Lee County Optical LLC | 1569 Hwy 19 S, Leesburg, GA 31763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanda D Newsome | Family Medicine | Albany Area Primary Health Care Inc | 235 Walnut Ave S, Leesburg, GA 31763-4367 |
| Marvin C Larsen | Chiropractic | 1477 Us Hwy 19 S, Leesburg, GA 31763-4868 | |
| David A Wren | Chiropractic | 1290 Us 19, Leesburg, GA 31763-4877 | |
| Robert Sumner Pilcher | Orthopedic Surgery | Hughston Clinic PC | 117 Oakland Pkwy, Leesburg, GA 31763-7201 |
| Julie M Tabb | Physical Therapy | Hughston Clinic PC | 117 Oakland Pkwy, Leesburg, GA 31763-7201 |
| Ryan M Geringer | Orthopedic Surgery | Hughston Clinic PC | 117 Oakland Pkwy, Leesburg, GA 31763-7201 |
| City | LEESBURG |
| Zip Code | 31763 |
| Specialty | OPTOMETRY |
| City + Specialty | LEESBURG + OPTOMETRY |
Please comment or provide details below to improve the information on Renee C Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.