Individual
DR. STEVEN PAUL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
26300 CEDAR RD STE 2005, BEACHWOOD, OH 44122
(216) 514-9777
(216) 514-0942
Mailing address
26300 CEDAR RD STE 2005, BEACHWOOD, OH 44122-1185
(216) 514-9777
(216) 514-0942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167695
—
OH
Enumeration date
10/18/2006
Last updated
08/08/2019
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