Gordon, Frederic Troy

Gordon, Frederic Troy is an individual health care provider with primary practice located at 1455 W Main St , Sun Prairie WI 53590-1837. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gordon, Frederic Troy can be contacted via phone (608) 825-2020.

Contact Information

Primary practice address
1455 W Main St Sun Prairie WI 53590-1837
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1470 035 Wisconsin

Profile Details

NPI number 1518915966
LBN Legal business name Gordon, Frederic Troy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 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.

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