Organization
YADKIN VISION CENTER O.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT GORDON O.D. (MEMBER/MANAGER)
(336) 679-2931
Entity
Organization
Contact information
Practice address
115 PAULINE ST, EAST BEND, NC 27018-7686
(336) 699-8170
(336) 699-8162
Mailing address
115 PAULINE ST, EAST BEND, NC 27018-7686
(336) 699-8170
(336) 699-8162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950715
—
NC
Enumeration date
11/04/2008
Last updated
05/06/2021
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