Michael W Gordon is a
Optometrist based in Spring Valley, Minnesota. Michael W Gordon is licensed to practice in Minnesota (license number 1979) and their current practice location is
214 N Broadway St, Spring Valley, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(507) 346-7555.
NPI number for Michael W Gordon is 1316165046 and their current mailing address is 214 N Broadway St, Spring Valley, Minnesota. Michael W Gordon
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1316165046.
Healthcare Provider's Profile
Full Name | Michael W Gordon |
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Type | Facility |
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Speciality | Optometrist |
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Location | 214 N Broadway St, Spring Valley, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316165046
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 08/29/2012
Medical Identifiers
Medical identifiers for Michael W Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316165046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1979 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael W Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael W Gordon 214 N Broadway St, Spring Valley, MN 55975-1226 Ph: () - | Michael W Gordon 214 N Broadway St, Spring Valley, MN 55975-1226 Ph: (507) 346-7555 |
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