Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL W GORDON, O.D.
Active Sole ProprietorDR. MICHAEL W GORDON, O.D. is a Optometrist healthcare provider located in SPRING VALLEY, Minnesota. NPI 1316917123 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SPRING VALLEY, MN
Registration Details
- NPI Number
- 1316917123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2006 (20.54490297265 yrs)
- Last Updated
- Aug 29, 2008
- License
-
1979000 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
214 N. BDWYSPRING VALLEY, MN, 55975Browse MN providers · Browse ZIP 55975
- Phone
- 5073467555
- Fax
- 5073467555
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.