Individual
DR. SHARON M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
296 CONSTITUTION DR, VIRGINIA BEACH, VA 23462-6704
(757) 671-8957
Mailing address
777 SPENCE CIR, VIRGINIA BEACH, VA 23462-4875
(757) 965-3967
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000808
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618000808
EYEMED
VA
Enumeration date
03/26/2007
Last updated
07/08/2007
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