Active NPIIndividual provider

Dr. Thomas V Gordon, OD

Optometrist in South Casco, Maine

NPI Number1023181062
Practice location
195 Roosevelt Trail, South Casco, ME 04077-0200
Fax
207-655-7770
Last updated
July 8, 2007

Thomas Vincent Gordon is an Optometrist based in South Casco, ME. Thomas Vincent Gordon practices in South Casco, ME and has the professional credentials of OD. The NPI Number for Thomas Vincent Gordon is 1023181062 and holds a License No. OPT 760 (ME). The current practice location address for Thomas Vincent Gordon is 195 Roosevelt Trail, South Casco, ME 04077-0200 and can be reached out via phone at 207-655-2020 and via fax at 207-655-7770.

Provider Profile Details

NPI Number
1023181062
Provider Name
Thomas Vincent Gordon
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
195 Roosevelt Trail, South Casco, ME 04077-0200
Phone Number
207-655-2020
Fax Number
207-655-7770
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Roosevelt Trail
South Casco, ME 04077-0200
State
Maine
Zip
04077-0200
Phone Number
207-655-2020
Fax Number
207-655-7770
South Casco, ME 04077Get directions →

Provider Business Mailing Address Details

Address
Po Box 200
South Casco, ME 04077-0200
City
South Casco
State
ME
Zip
04077-0200
Phone Number
207-655-2020
Fax Number
207-655-7770

License Information

License Number
OPT 760
License State
ME
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Thomas V Gordon, OD?

The NPI number of Dr. Thomas V Gordon, OD is 1023181062. It was assigned on November 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas V Gordon, OD?

Dr. Thomas V Gordon, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number OPT 760.

Where does Dr. Thomas V Gordon, OD practice?

The practice location is 195 Roosevelt Trail, South Casco, ME 04077-0200. The office can be reached at 207-655-2020 (phone) or 207-655-7770 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023181062 directly on the NPPES registry website.

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