Dr Kenneth Bryce Gordon, OD | |
4811 S Laburnum Ave, Richmond, VA 23231-2713 | |
(804) 226-1144 | |
(804) 236-9026 |
Full Name | Dr Kenneth Bryce Gordon |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 28 Years |
Location | 4811 S Laburnum Ave, Richmond, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497752208 | NPI | - | NPPES |
DA5536 | Other | VA | RAILROAD MEDICARE PIN |
U84594 | Other | VA | RAILROAD MEDICARE UPIN |
541783118 | Other | VA | RAILROAD MEDICARE TAX ID |
9232362 | Medicaid | VA | |
541783118 | Other | MEDICARE TAX ID | |
P00068065 | Other | VA | RAILROAD PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618000495 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dr Clifford Roffis And Associates Odpc | 4385711191 | 4 |
Provider Name | Dr Clifford Roffis And Associates Odpc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184788457 PECOS PAC ID: 4385711191 Enrollment ID: O20080920000036 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Bryce Gordon, OD 4811 S Laburnum Ave, Richmond, VA 23231-2713 Ph: (804) 226-1144 | Dr Kenneth Bryce Gordon, OD 4811 S Laburnum Ave, Richmond, VA 23231-2713 Ph: (804) 226-1144 |
Raihana Sherdil, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 Westhampton Sta, Richmond, VA 23226 Phone: 804-287-4200 | |
Sarah C. Duval, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 E. Byrd Street, Suite 160a, Richmond, VA 23219 Phone: 804-780-0359 | |
Dr. Gregg Alan Baldwin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11500 Midlothian Turnpike, Suite #716b, Richmond, VA 23235 Phone: 804-897-5542 | |
Dr. Marissa Elaine Albert, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7000 Forest Ave, Richmond, VA 23230 Phone: 804-253-9778 | |
Dr. Laurel E/ Loukx, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5419 Patterson Ave, Richmond, VA 23226 Phone: 804-285-7638 Fax: 804-285-2107 | |
Dr. Richard N Douglas, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10431 Patterson Ave, Richmond, VA 23238 Phone: 804-217-6363 Fax: 804-217-6400 | |
Dr. Barry H Whitehead, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1601 Willow Lawn Dr, Suite 254, Richmond, VA 23230 Phone: 804-288-2202 Fax: 804-282-9155 |