Gordon, Anthony
Gordon, Anthony is an individual health care provider with primary practice located at 54 Hartford Tpke , Vernon CT 06066-5276. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gordon, Anthony can be contacted via phone (860) 646-3400.Contact Information
Primary practice address
54 Hartford Tpke
Vernon CT 06066-5276
Phone: (860) 646-3400
Fax: (860) 646-3402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | CT002287 | Connecticut |
Profile Details
| NPI number | 1831107077 |
|---|---|
| LBN Legal business name | Gordon, Anthony |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Aug 31st, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831107077 | NPPES |
| Connecticut | MEDICAID | 004112843 |
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