Individual
DR. ADAM GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0001
(205) 934-4748
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0001
(205) 934-4748
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S574TA039
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059870
—
AL
05
—
02129061
—
MS
05
—
1585971
—
LA
01
—
410048451
MEDICARE RAIDROAD
AL
01
—
51059822
BCBS OF ALABAMA
AL
01
—
51059870
BCBS
AL
01
—
P00280010
MEDICARE RAILROAD
—
01
—
T68916
VIVA
AL
Enumeration date
08/16/2006
Last updated
06/02/2010
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