Individual
MARK GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
230 W JERSEY ST FL 2, ELIZABETH, NJ 07202-1364
(908) 289-1166
(908) 352-4752
Mailing address
230 W JERSEY ST, SUITE 201, ELIZABETH, NJ 07202-1364
(908) 289-1166
(908) 352-4752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00356000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6700646
GHI
NY
Enumeration date
11/17/2006
Last updated
06/11/2025
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