Dr Janet I Gordon

Primary specialty

OptometristTaxonomy code 152W00000X

License

MD 00017326 Issued in WA

Legal business name

DR JANET I GORDON

Practice address

7017 NE Highway 99 Ste 202
Vancouver, WA 98665-0553

Phone

(136) 069-4076

Fax

(136) 069-4109

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Janet Irene Gordon, MD

Title

Ophthalomology

Phone

(360) 694-0760

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1639316490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 NE HIGHWAY 99 STE 202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650553",
            "telephone_number": "136-069-4076",
            "fax_number": "136-069-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 NE HIGHWAY 99 STE 202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650553",
            "telephone_number": "136-069-4076",
            "fax_number": "136-069-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JANET I GORDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OPHTHALOMOLOGY",
        "authorized_official_telephone_number": "13606940760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "MD 00017326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.