Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON J PENN, O.D.
Active Sole ProprietorDR. GORDON J PENN, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in VIERA, Florida. NPI 1417960881 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · VIERA, FL
Registration Details
- NPI Number
- 1417960881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (20.027820820696 yrs)
- Last Updated
- Oct 7, 2011
- License
-
2710 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8500 N WICKHAM RDVIERA, FL, 329406600Browse FL providers · Browse ZIP 32940
- Phone
- 3212594393
- Fax
- 3212426132
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
Other Corneal & Contact Management Optometrist Providers in VIERA, FL
| Name | Credential | NPI |
|---|---|---|
| DR. SHAHAN A. MANGUIKIAN | O.D. | 1568410702 |
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.