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

MICHAEL W GORDON

Active Organization

MICHAEL W GORDON is a Optometrist organization located in SPRING VALLEY, Minnesota. NPI 1316165046 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SPRING VALLEY, MN

Registration Details

NPI Number
1316165046
Provider Type
Organization
NPI Issued
Apr 20, 2007 (19.309201195792 yrs)
Last Updated
Aug 29, 2012
License
1979 (MN)

Practice Information

Address
214 N BROADWAY ST
SPRING VALLEY, MN, 559751226
Browse MN providers · Browse ZIP 55975
Phone
5073467555
Primary Specialty
Optometrist
152W00000X
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.