Organization
M.D. GORDON O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D GORDON O.D. (PRESIDENT)
(316) 684-2020
Entity
Organization
Contact information
Practice address
8100 E 22ND ST N, BLDG. 1600, WICHITA, KS 67226-2388
(316) 684-2020
(316) 686-7307
Mailing address
8100 E 22ND ST N, BLDG. 1600, WICHITA, KS 67226-2388
(316) 684-2020
(316) 686-7307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1046-3
KS
Other
Enumeration date
01/21/2011
Last updated
10/19/2016
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