Individual
DR. GAIL C GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1931
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417940552
NPI
—
01
—
1931
OD LICENSE
NC
01
—
2474157B
MEDICARE - YADKINVILLE
—
01
—
2474157C
MEDICARE - EAST BEND
—
01
—
511078
OE TRACKER
—
05
—
5905423
—
NC
Enumeration date
08/24/2005
Last updated
03/07/2023
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