Dr. Theodore B Gordon, OD
Optometrist in Ludlow, Massachusetts
1568455962- Practice location
- 354 Sewall St, Centergate Commons, Ludlow, MA 01056-2711
- Phone
- 413-583-2260
- Fax
- 413-583-3957
- Last updated
- January 17, 2008
Theodore Bennett Gordon is an Optometrist based in Ludlow, MA. Theodore Bennett Gordon practices in Ludlow, MA and has the professional credentials of OD. The NPI Number for Theodore Bennett Gordon is 1568455962 and holds a License No. 2253 (MA). The current practice location address for Theodore Bennett Gordon is 354 Sewall St, Centergate Commons, Ludlow, MA 01056-2711 and can be reached out via phone at 413-583-2260 and via fax at 413-583-3957.
Provider Profile Details
- NPI Number
- 1568455962
- Provider Name
- Theodore Bennett Gordon
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 354 Sewall St, Centergate Commons, Ludlow, MA 01056-2711
- Phone Number
- 413-583-2260
- Fax Number
- 413-583-3957
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 31, 2005
- Last Update Date
- January 17, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 354 Sewall St
Centergate Commons
Ludlow, MA 01056-2711 - City
- Ludlow
- State
- Massachusetts
- Zip
- 01056-2711
- Phone Number
- 413-583-2260
- Fax Number
- 413-583-3957
Provider Business Mailing Address Details
- Address
- 354 Sewall St
Centergate Commons
Ludlow, MA 01056-2711 - City
- Ludlow
- State
- MA
- Zip
- 01056-2711
- Phone Number
- 413-583-2260
- Fax Number
- 413-583-3957
License Information
- License Number
- 2253
- License State
- MA
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Ludlow, MA
View all Optometrists in Ludlow →Frequently Asked Questions
What is the NPI number of Dr. Theodore B Gordon, OD?
The NPI number of Dr. Theodore B Gordon, OD is 1568455962. It was assigned on August 31, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Theodore B Gordon, OD?
Dr. Theodore B Gordon, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 2253.
Where does Dr. Theodore B Gordon, OD practice?
The practice location is 354 Sewall St, Centergate Commons, Ludlow, MA 01056-2711. The office can be reached at 413-583-2260 (phone) or 413-583-3957 (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 1568455962 directly on the NPPES registry website.