Individual
ERIC SCOTT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1569 US HIGHWAY 19 S, LEESBURG, GA 31763-4939
(229) 439-1200
(229) 255-2929
Mailing address
2405 ASHFORD DR, ALBANY, GA 31721-9246
(229) 883-2200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC3796
FL
152W00000X
Optometrist
Primary
OPT002106
GA
Other
Enumeration date
02/22/2007
Last updated
09/07/2022
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