Individual provider Active NPI

William David Gordon, O.D.

  • Sports Vision Optometrist
  • Monroe, LA
National Provider Identifier
1528050069
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Vision OptometristTaxonomy code 152WS0006X
License
LA909-230T Issued in LA
Practice address
3000 Forsythe Ave
Monroe, LA 71201-3012
Phone
(318) 325-9474
Fax
(318) 388-1868
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X LA909-230T LA
Corneal and Contact Management Optometrist 152WC0802X LA909-230T LA
Low Vision Rehabilitation Optometrist 152WL0500X LA909-230T LA
Pediatric Optometrist 152WP0200X LA909-230T LA
Sports Vision Optometrist 152WS0006X LA909-230T LA Primary

Addresses

Primary practice location

3000 Forsythe Ave
Monroe, LA 71201-3012

Mailing address

3000 Forsythe Ave
Monroe, LA 71201-3012
Phone (318) 325-9474

Other identifiers 1

IdentifierTypeStateIssuer
1337170MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20050121000101 LA Practitioner - Optometry 1254380926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William D. Gordon, O.D. Inc.Group PAC ID 0446209118, 3 clinicians
Family Eye Care AssociatesGroup PAC ID 5991206823, 3 clinicians

Practice addresses (Care Compare)

3000 Forsythe Ave
Monroe, LA 71201-3012
Phone (318) 807-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
909LAMDChiropractor
LA909-230TLAMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William D. Gordon, O.D. Inc. Optometrist CurrentSince Apr 19, 1994 Accepting new patients
Family Eye Care Associates Optometrist CurrentSince Sep 2, 2025 Accepting new patients

Locations

1804 N 18th St
Monroe, LA 71201
Phone (318) 325-9474

3000 Forsythe Ave
#5150
Monroe, LA 71201

3000 Forsythe Ave
Monroe, LA 71201
Phone (318) 325-9474

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1528050069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013012",
            "telephone_number": "318-325-9474",
            "fax_number": "318-388-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013012",
            "telephone_number": "318-325-9474",
            "fax_number": "318-388-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "LA909-230T",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "LA",
            "license": "LA909-230T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "LA",
            "license": "LA909-230T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "LA",
            "license": "LA909-230T",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "LA",
            "license": "LA909-230T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337170",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.