Active NPI
Gorden Eye Associates, PA
- Ophthalmology Physician
- Temple, TX
National Provider Identifier
1003889981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- F1594
- Legal business name
- GORDEN EYE ASSOCIATES, PA
- Practice address
- 1618 Canyon Creek Dr
Suite 120
Temple, TX 76502-3275 - Phone
- (254) 791-2020
- Fax
- (254) 791-2025
- NPI assigned
- Feb 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd Bradley Gorden, M.D.
- Title
- President
- Phone
- (254) 791-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | F1594 | TX | Primary |
Addresses
Primary practice location
1618 Canyon Creek Dr
Suite 120
Temple, TX 76502-3275
Mailing address
1618 Canyon Creek Dr
Suite 120
Temple, TX 76502-3275
Phone (254) 791-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142430101 | Medicaid | TX | |
| 0039GN | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1618 Canyon Creek Dr
Ste 120
Temple, TX 76502
Phone (254) 791-2020
Interoperability endpoints
- tgorden@gordeneye.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Physician Assistant
- Waco, TX
- NPI 1326502758
-
- Dermatology Physician
- Gatesville, TX
- NPI 1215026232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003889981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 CANYON CREEK DR",
"address_2": "SUITE 120",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765023275",
"telephone_number": "254-791-2020",
"fax_number": "254-791-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 CANYON CREEK DR",
"address_2": "SUITE 120",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765023275",
"telephone_number": "254-791-2020",
"fax_number": "254-791-2025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDEN EYE ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GORDEN",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "BRADLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "254-791-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": "F1594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142430101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0039GN",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.