Michael D Gordon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10462 Issued in KS

Practice address

8100 E 22ND St N
BLDG 1600
Wichita, KS 67226

Phone

(316) 684-2020

Fax

(316) 686-7307

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as group

Quality

74.13

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.93 of 100Reported as group

Quality

76.24

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.gordon.p6@direct.360care.nextgenshare.com
• Direct secure messaging: michael.gordon.p7@direct.360care.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M.D. Gordon O.D., LLC

  • Optometrist
  • Wichita, KS
  • NPI 1588969570
  Authorized official Same address or phone
• Michael D Gordon DD PA

  • Optometrist
  • Goddard, KS
  • NPI 1871690073
  Authorized official Same address or phone
• Michael D Gordon OD PA

  • Optometrist
  • Derby, KS
  • NPI 1306931472
  Authorized official Same address or phone
• Michael D Gordon OD PA

  • Optometrist
  • Wichita, KS
  • NPI 1306943519
  NPD (past) Authorized official
• Michael D Gordon OD PA

  • Optometrist
  • Wellington, KS
  • NPI 1497840565
  NPD (past) Authorized official
• Seibert Mobile Optometry LLC

  • Optometrist
  • Jefferson City, MO
  • NPI 1679017362
  NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699870212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N",
            "address_2": "BLDG 1600",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-684-2020",
            "fax_number": "316-686-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N",
            "address_2": "BLDG 1600",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-684-2020",
            "fax_number": "316-686-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "10462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "0254820002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saritha Gorantla, M.D.
• Suman Gorantla, DMD
• Jeffrey David Gorcos, MD
• Jane Gordon, CPTA
• Jonathan Adam Gordon
• Lori Gore
• Amanda Renee Gorges, ED.S.
• Nicholas J Gorges
• Donna Marie Gorman, LCMFT, LCAC
• Jacqueline A Gorman, PA-C

• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.