Steven P. Gordon, OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5039 Issued in OH

Legal business name

STEVEN P. GORDON, OD, INC.

Practice address

691 Richmond Rd
Richmond Heights, OH 44143-2990

Phone

(440) 461-3796

NPI assigned

Apr 26, 2007

Last updated

Oct 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Paul Gordon, O.D.NPI 1104907575

Title

President

Phone

(440) 461-3796

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Paul Gordon, O.D.

  • Optometrist
  • Beachwood, OH
  • NPI 1104907575
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1841410586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 RICHMOND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432990",
            "telephone_number": "440-461-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 RICHMOND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432990",
            "telephone_number": "440-461-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P. GORDON, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-461-3796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167695",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latosha Lynisha Smith, RN, BSN,PHN
• Milleon Smith
• Luz Maria Solis Lopez, D.O.
• Michelle L Spencer
• Stachie Campbell (Sunset Home Health Care Agency)
• Sheriece Corlynn Stewart, CNP
• Latrice Storey
• Rickyia Strickland
• Marvienne Shawnte Talley
• Jayla Taylor

• Optometrist in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.