Organization · Type 2 NPI
Theodore B Gordon Od
Eyewear Supplier · Ludlow, MA
NPI number
1689844276
Active
Practice location
354 Sewall St
Ludlow, MA 01056-2711
Fax (413) 583-3957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 2253 (MA) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
About NPI 1689844276
Theodore B Gordon Od's National Provider Identifier is 1689844276, issued on Mar 10, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Ludlow, MA. The record was last updated on Mar 20, 2008.