Gordon, William David
Gordon, William David is an sole proprietor health care provider with primary practice located at 3000 Forsythe Ave , Monroe LA 71201-3012. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Gordon, William David can be contacted via phone (318) 325-9474.Contact Information
Primary practice address
3000 Forsythe Ave
Monroe LA 71201-3012
Phone: (318) 325-9474
Fax: (318) 388-1868
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | LA909-230T | Louisiana |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | LA909-230T | Louisiana |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | LA909-230T | Louisiana |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | LA909-230T | Louisiana |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | LA909-230T | Louisiana |
Profile Details
NPI number | 1528050069 |
---|---|
LBN Legal business name | Gordon, William David |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2005 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528050069 | NPPES |
Louisiana | MEDICAID | 1337170 |
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