Organization Active NPI

Gordon Optometric Eyecare LLC

  • Optometrist
  • Vernon, CT
National Provider Identifier
1508023128
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GORDON OPTOMETRIC EYECARE LLC
Practice address
54 Hartford Tpke
Suite 3
Vernon, CT 06066-5276
Phone
(860) 646-3400
Fax
(860) 646-3402
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. Anthony Gordon
Title
Owner
Phone
(860) 646-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

54 Hartford Tpke
Suite 3
Vernon, CT 06066-5276

Mailing address

54 Hartford Tpke
Suite 3
Vernon, CT 06066-5276
Phone (860) 646-3400

National Provider Directory

National Provider Directory

Locations

54 Hartford Tpke
Ste 3
Vernon, CT 06066
Phone (860) 646-3400

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1508023128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HARTFORD TPKE",
            "address_2": "SUITE 3",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665276",
            "telephone_number": "860-646-3400",
            "fax_number": "860-646-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HARTFORD TPKE",
            "address_2": "SUITE 3",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665276",
            "telephone_number": "860-646-3400",
            "fax_number": "860-646-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON OPTOMETRIC EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-646-3400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.