Individual
SARA M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
272 COTTAGE ST, SANFORD, ME 04073-1815
(207) 324-8888
(207) 490-1716
Mailing address
272 COTTAGE ST, SANFORD, ME 04073-1815
(207) 324-8888
(207) 490-1716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT901
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433227099
—
ME
Enumeration date
03/05/2009
Last updated
07/16/2020
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