Barbara Ann Gordeuk OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BARBARA ANN GORDEUK OD LLC

Practice address

495 S Oxford Valley Rd
Fairless Hills, PA 19030-4202

Phone

(215) 949-6611

Fax

(215) 949-6613

NPI assigned

Aug 31, 2006

Last updated

Jul 30, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Barbara Ann Gordeuk, O.D.NPI 1902821382

Title

Optometrist

Phone

(215) 968-0203

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Ann Gordeuk, O.D.

  • Optometrist
  • Newtown, PA
  • NPI 1902821382
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1063523108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 DURHAM RD",
            "city": "PIPERSVILLE",
            "state": "PA",
            "postal_code": "189471151",
            "telephone_number": "215-766-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190304202",
            "telephone_number": "215-949-6611",
            "fax_number": "215-949-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA ANN GORDEUK OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "GORDEUK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-968-0203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-US HEALTHCARE",
            "identifier": "57599",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0192730000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION-KEYSTONE",
            "identifier": "53028",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01851714",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION-WALMART",
            "identifier": "36092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "PA6881",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina A Bagdasarian, O.D.
• Natala Balla
• Gabriela Andrea Balogh, B.SC, PH.D.
• Satish Bandaru, D.D.S.
• Barakat Healthcare Services LLC
• Jason Sean Barrett, PHARMD
• Shan Barrett, ATC
• Vanessa Bethea-Miller, M.A., BCBA
• Jeanine Beverly
• Surbhi Bhatia, D.D.S.

• Optometrist in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.