Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK JAY GORDON, OD
Active Sole ProprietorDR. MARK JAY GORDON, OD is a Optometrist healthcare provider located in KENMORE, New York. NPI 1568420099 is currently active in the NPPES registry. Verify at CMS.
Optometrist · KENMORE, NY
Registration Details
- NPI Number
- 1568420099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2006 (20.288328952365 yrs)
- Last Updated
- Oct 18, 2017
- Licenses
-
NY TUV004506 (NY)TUV004506 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
978 COLVIN BLVDKENMORE, NY, 142172128Browse NY providers · Browse ZIP 14217
- Phone
- 7168710074
- Fax
- 7168988973
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in KENMORE, NY
| Name | Credential | NPI |
|---|---|---|
| MELANIE METSA | OD | 1447255807 |
| DR. FRANCESCO JOHN BARBAROSSA | OD | 1407853369 |
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.