Jonathan E Gordon OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3471 Issued in FL

Legal business name

JONATHAN E GORDON OD PA

Practice address

777 E Merritt Island Cswy
#221
Merritt Island, FL 32952-3576

Phone

(321) 454-4800

Fax

(321) 454-2019

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By 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. Jonathan E Gordon, O.D.

Title

P/D/C

Phone

(321) 454-4800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Ivette H Gonzalez, O.D.

  • Pediatric Optometrist
  • Merritt Island, FL
  • NPI 1588827141
  NPD (past)
• David P Todd Jr., OD

  • Optometrist
  • Sonoma, CA
  • NPI 1003020223
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1255528584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E MERRITT ISLAND CSWY",
            "address_2": "#221",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523576",
            "telephone_number": "321-454-4800",
            "fax_number": "321-454-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E MERRITT ISLAND CSWY",
            "address_2": "#221",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523576",
            "telephone_number": "321-454-4800",
            "fax_number": "321-454-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN E GORDON OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "P/D/C",
        "authorized_official_telephone_number": "321-454-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC  3471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Johnson
• Jennifer L Johnson, HAS
• Joseph Michael Johnson Jr., DPT
• Walter G Johnson, MD
• Xavier Antonio Johnson, PHARMD
• Corinne Sandra Jordan
• Jorge J Leal MD Urologist LLC
• Just Lavender Functional Medicine
• Kaelin Consulting and Counseling PLLC
• Nikolaos Kanellopoulos, MD

• Optometrist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.