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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL D GORDON OD PA

Active Organization

MICHAEL D GORDON OD PA is a Optometrist organization located in DERBY, Kansas. NPI 1306931472 is currently active in the NPPES registry. Verify at CMS.

Optometrist · DERBY, KS

Registration Details

NPI Number
1306931472
Provider Type
Organization
NPI Issued
Oct 4, 2006 (19.851626469125 yrs)
Last Updated
Feb 25, 2008
License
10462 MICHAEL D GORD (KS)

Practice Information

Address
1221 N ROCK RD
DERBY, KS, 670373678
Browse KS providers · Browse ZIP 67037
Phone
3167882020
Fax
3167887451
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in DERBY, KS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.