Janet I Gordon, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0017326 Issued in WA

Practice address

7017 NE Hwy 99
Suite 201
Vancouver, WA 98665

Phone

(360) 694-0760

Fax

(360) 694-1091

NPI assigned

Apr 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Brittain Eye Care, PS

  • Optometrist
  • Vancouver, WA
  • NPI 1740412105
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1447213004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 NE HIGHWAY 99",
            "address_2": "SUITE 202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650555",
            "telephone_number": "360-694-0760",
            "fax_number": "360-694-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 NE HWY 99",
            "address_2": "SUITE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98665",
            "telephone_number": "360-694-0760",
            "fax_number": "360-694-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JANET",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "0017326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HOR PACIFICARE",
            "identifier": "83020001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INS",
            "identifier": "0615108",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025675",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teri Goodwin, RN
• Craig Goold
• Bellamy Goosey, CBT
• Arielle Shoshanna Gordon, FNP
• Ignacia Alex Gordon
• Kimberly Gordon
• Daniel M Gorecki, MD
• William J Goritski, M.D.
• Elizabeth Shannon Gorman
• Justin Gorman

• Ophthalmology Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.