Active NPIIndividual provider

Dr. Anthony Gordon, OD

Optometrist in Vernon, Connecticut

NPI Number1831107077
Practice location
54 Hartford Tpke, Vernon, CT 06066-5276
Fax
860-646-3402
Last updated
August 31, 2007

Anthony Gordon is an Optometrist based in Vernon, CT. Anthony Gordon practices in Vernon, CT and has the professional credentials of OD. The NPI Number for Anthony Gordon is 1831107077 and holds a License No. CT002287 (CT). The current practice location address for Anthony Gordon is 54 Hartford Tpke, Vernon, CT 06066-5276 and can be reached out via phone at 860-646-3400 and via fax at 860-646-3402.

Provider Profile Details

NPI Number
1831107077
Provider Name
Anthony Gordon
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
54 Hartford Tpke, Vernon, CT 06066-5276
Phone Number
860-646-3400
Fax Number
860-646-3402
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 4, 2006
Last Update Date
August 31, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Hartford Tpke
Vernon, CT 06066-5276
City
Vernon
Zip
06066-5276
Phone Number
860-646-3400
Fax Number
860-646-3402
Vernon, CT 06066Get directions →

Provider Business Mailing Address Details

Address
129 Oconnell Dr
East Hartford, CT 06118
City
East Hartford
State
CT
Zip
06118
Phone Number
860-870-3800
Fax Number
860-870-3802

License Information

License Number
CT002287
License State
CT
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. Anthony Gordon, OD?

The NPI number of Dr. Anthony Gordon, OD is 1831107077. It was assigned on August 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Anthony Gordon, OD?

Dr. Anthony Gordon, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number CT002287.

Where does Dr. Anthony Gordon, OD practice?

The practice location is 54 Hartford Tpke, Vernon, CT 06066-5276. The office can be reached at 860-646-3400 (phone) or 860-646-3402 (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 1831107077 directly on the NPPES registry website.

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