Steven Paul Gordon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5039 Issued in OH

Practice address

26300 Cedar Rd Ste 2005
Beachwood, OH 44122

Phone

(216) 514-9777

Fax

(216) 514-0942

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Steven P. Gordon, OD, Inc.

  • Optometrist
  • Richmond Heights, OH
  • NPI 1841410586
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1104907575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26300 CEDAR RD STE 2005",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221185",
            "telephone_number": "216-514-9777",
            "fax_number": "216-514-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 CEDAR RD STE 2005",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-514-9777",
            "fax_number": "216-514-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "691 Richmond Rd",
            "address_2": "Suite E-01",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "OH",
            "postal_code": "441432990",
            "country_code": "US",
            "telephone_number": "440-461-3796",
            "fax_number": "440-461-4802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "691 Richmond Rd",
            "address_2": "Suite E-01",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "OH",
            "postal_code": "441432990",
            "country_code": "US",
            "telephone_number": "440-461-3796",
            "fax_number": "440-461-4802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167695",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Hale Gordon, PH.D.
• Jessie Gordon, LPCC
• Jonathan D Gordon, PH.D.
• Julian A Gordon, MD
• Peter G Gordon, D.D.S.
• Dawn Lynn Gore, CNS
• George I Gorodeski, MD
• Tiona Lynn Gosha I, RN, LPC
• Bryant Goshay
• Kimberly Gossett

• Optometrist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.