James R Gordon

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

JAMES R GORDON

Practice address

591 Lincoln St
Worcester, MA 01605-1932

Phone

(508) 852-3636

Fax

(508) 459-5082

NPI assigned

Jul 3, 2008

Last updated

Jul 3, 2008By 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

Anita Fresolo

Title

Billing Coordinator

Phone

(508) 853-2020

Specialties & licenses 1

Addresses

Other names 1

• Jim Gordon Opticians Other name

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1336302900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051932",
            "telephone_number": "508-852-3636",
            "fax_number": "508-459-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051932",
            "telephone_number": "508-852-3636",
            "fax_number": "508-459-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R GORDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "FRESOLO",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "508-853-2020"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jim Gordon Opticians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Belinda James
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• Dawn James

• Eyewear Supplier in Worcester, MA
• Providers in Worcester, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.