DR. KENNETH BRYCE GORDON


Address: 4811 S Laburnum Ave, Richmond, VA 23231-2713
Phone: 8042261144

DR. KENNETH BRYCE GORDON (NPI# 1497752208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497752208
Entity Type Individual
Full Name DR. KENNETH BRYCE GORDON
Credential OD
Practice Address 4811 S Laburnum Ave
Richmond
VA 23231-2713
Practice Telephone 8042261144
Practice Fax Number 8042369026
Mailing Telephone 8042261144
Mailing Fax Number 8042369026
Enumeration Date 2005-07-07
Last Update Date 2013-05-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 0618000495 VA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 9232362 05
VA RAILROAD MEDICARE TAX ID 541783118 01
VA RAILROAD MEDICARE UPIN U84594 01
VA RAILROAD PROVIDER P00068065 01
VA RAILROAD MEDICARE PIN DA5536 01
MEDICARE TAX ID 541783118 01

Other Providers KENNETH GORDON

NPI Name Taxonomy Address Enumeration
1225529043 Kenneth Steven Gordon Psychologist 755 Lakefield Rd Ste J, Westlake Village, CA 91361-2639 2018-05-29
1154796456 Kenneth Gordon Pharmacist 5261 Nw 81st Ter, Lauderhill, FL 33351-5050 2015-12-11
1548301021 Kenneth Lawrence Gordon Psychiatry & Neurology 75 Chestnut St., Oneonta, NY 13820 2007-02-09
1790865806 Kenneth B. Gordon Dermatology 9200 W Wisconsin Ave, Department of Dermatology, Milwaukee, WI 53226-3522 2006-10-16
1104837657 Kenneth L. Gordon Ophthalmology 2080 Century Park East, #800, Los Angeles, CA 90067-2011 2006-08-10
1871549204 Kenneth D Gordon Internal Medicine 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4100 2006-05-26

Office Location

Street Address 4811 S LABURNUM AVE
City RICHMOND
State VA
Zip Code 23231-2713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184788457 Dr Clifford Roffis and Associates Odpc Optometrist 4811 S Laburnum Ave, Richmond, VA 23231-2713 2006-12-21
1114991460 Clifford Alan Roffis Optometrist 4811 S Laburnum Ave, Richmond, VA 23231-2713 2006-02-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114524766 Latoya Steward Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805 Admiral Gravely Blvd, Richmond, VA 23231 2020-10-07
1548721160 Ray E Hill Jr. Non-emergency Medical Transport (VAN) 9469 Barrett Pl, Richmond, VA 23231 2019-03-27
1265922314 Bon Secours - Richmond Community Hospital, Incorporated Pediatrics 4744 Finlay St, Richmond, VA 23231 2018-05-15
1225371743 Vantage Point Community Supports, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8005 Diamond Ridge Court, Henrico, VA 23231 2013-04-03
1255586277 Bon Secours - Richmond Community Hospital, Incorporated Clinic/Center 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 2008-11-18
1407050982 Tawana Toneke Olds-davis Counselor 4305 Hillbrook Ave, Richmond, VA 23231 2007-06-11
1891814844 East End Pediatrics, P.C. Pediatrics 4744 Finlay Street, Richmond, VA 23231 2007-03-29
1235229113 Aunt Anns Home for Adolescents Counselor 5901 Almond Creek N Lane, Richmond, VA 23231 2006-10-13
1962500421 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 2006-09-20
1043243546 Bon Secours-virginia Healthsource Family Medicine 4835 S Laburnum Ave, Richmond, VA 23231 2006-07-08
Find all providers in zip 23231

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942819370 Chelsey Hoang Optometrist 5439 Atwood Canyon Ct, Richmond, TX 77407-2986 2020-07-31
1629627559 Seth Gorman Optometrist 4501 S Laburnum Ave Ste 145, Richmond, VA 23231-2483 2019-09-04
1730732728 Tso Richmond Aliana Pa Optometrist 10117 W. Grand Parkway South, Suite 101, Richmond, TX 77407 2019-07-19
1811549751 Christopher Tran Optometrist 7101 W Grand Pkwy S Ste 170b, Richmond, TX 77407-8656 2019-07-11
1659933943 Daniel Max & Marcandrea LLC Optometrist 22377 Bellaire Blvd Ste 300, Richmond, TX 77407-3926 2019-07-08
1639633753 Grand Eye Care, LLC Optometrist 4828 Waterview Town Center, Suite 300, Richmond, TX 77406 2019-01-23
1346711132 Texas Eyecare & Optical LLC Optometrist 8710 Grand Mission Blvd Ste D, Richmond, TX 77407-5413 2018-12-06
1831671213 Jamie Pucci Optometrist 8700 Stony Point Pkwy Ste 240, Richmond, VA 23235-1966 2018-09-03
1285115758 Cz Eye Care, Pllc Optometrist 18310 West Airport, Suite 900, Richmond, TX 77407 2018-08-23
1124516927 Hoang Squared Optometrist 11020 Harlem Rd Ste 800, Richmond, TX 77406 2018-04-26
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 23231

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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