Organization Active NPI

Jim Gordon Opticians

  • Eyewear Supplier
  • Worcester, MA
National Provider Identifier
1578749552
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on Apr 1, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.