Organization
THEODORE B GORDON OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE B GORDON OD (OWNER /OPTOMETRIST)
(413) 583-2260
Entity
Organization
Contact information
Practice address
354 SEWALL ST, LUDLOW, MA 01056-2711
(413) 583-2260
(413) 583-3957
Mailing address
354 SEWALL ST, LUDLOW, MA 01056-2711
(413) 583-2260
(413) 583-3957
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2253
MA
Other
Enumeration date
03/10/2008
Last updated
03/20/2008
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