Theodore B Gordon OD
Eyewear Supplier (Equipment, not the service) in Ludlow, Massachusetts
1689844276- Practice location
- 354 Sewall St, Ludlow, MA 01056-2711
- Phone
- 413-583-2260
- Fax
- 413-583-3957
- Last updated
- March 20, 2008
Theodore B Gordon OD is a healthcare organization based in Ludlow, MA. Theodore B Gordon OD practices in Ludlow, MA. The NPI Number for Theodore B Gordon OD is 1689844276 and holds a License No. 2253 (MA). The current practice location address for Theodore B Gordon OD is 354 Sewall St, 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
- 1689844276
- Provider Name
- Theodore B Gordon OD
- Provider Entity Type
- Organization
- Address
- 354 Sewall St, Ludlow, MA 01056-2711
- Phone Number
- 413-583-2260
- Fax Number
- 413-583-3957
- Primary Taxonomy
- Eyewear Supplier (Equipment, not the service) · 332H00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Theodore B Gordon, OD · Owner /Optometrist · 413-583-2260
- Provider Enumeration Date
- March 10, 2008
- Last Update Date
- March 20, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 354 Sewall St
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
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
- Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Theodore B Gordon OD?
The NPI number of Theodore B Gordon OD is 1689844276. It was assigned on March 10, 2008 and is currently active in the NPPES registry.
What is the specialty of Theodore B Gordon OD?
Theodore B Gordon OD is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X), licensed in MA under license number 2253.
Where does Theodore B Gordon OD practice?
The practice location is 354 Sewall St, 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 1689844276 directly on the NPPES registry website.