Active NPI
Jim Gordon Opticians
- Eyewear Supplier
- Worcester, MA
National Provider Identifier
1578749552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- JIM GORDON OPTICIANS
- Practice address
- 591 Lincoln St
Worcester, MA 01605-1901 - Phone
- (508) 853-6060
- NPI assigned
- Jan 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Gordon
- Title
- Optician
- Phone
- (508) 852-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
591 Lincoln St
Worcester, MA 01605-1901
Mailing address
591 Lincoln St
Worcester, MA 01605-1901
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1578749552",
"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": "016051901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051901",
"telephone_number": "508-853-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIM GORDON OPTICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-21",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "508-852-3636"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.