Michael W Gordon

Optometrist · Spring Valley, MN

Organization Active NPI

NPI number 1316165046

Practice location

214 N Broadway St
Spring Valley, MN 55975-1226
Phone
(507) 346-7555

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NPI record

NPI
1316165046
Entity type
Organization (Type 2)
Enumeration date
April 20, 2007
Last updated
August 29, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1979 MN

Authorized official

Name
Dr. Michael W Gordon, O.D.
Title
Owner
Phone
(507) 346-7555

About Michael W Gordon

Michael W Gordon is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 214 N Broadway St, Spring Valley, MN 55975-1226. The NPI number 1316165046 was assigned on April 20, 2007 and the record was last updated on August 29, 2012.

Michael W Gordon lists a license in the registry: #1979 (MN) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Michael W Gordon, O.D., Owner.

Frequently asked questions

What is the NPI number of Michael W Gordon?

The NPI number is 1316165046.

What is the phone number of Michael W Gordon?

The phone number listed for the practice location is (507) 346-7555.

Where is Michael W Gordon located?

214 N Broadway St, Spring Valley, MN 55975-1226.

What is the taxonomy code for Michael W Gordon?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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