DR. MARK JAY GORDON (NPI# 1568420099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568420099 |
| Entity Type | Individual |
| Full Name | DR. MARK JAY GORDON |
| Credential | OD |
| Practice Address |
978 Colvin Blvd Kenmore NY 14217-2128 |
| Practice Telephone | 7168710074 |
| Practice Fax Number | 7168988973 |
| Mailing Telephone | 7168710074 |
| Mailing Fax Number | 7168988973 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | TUV004506 | NY | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | NY TUV004506 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183404 | Mark Gordon | Homemaker | 16938 S Dixie Hwy, Palmetto Bay, FL 33157-4354 | 2013-10-30 |
| 1750409629 | Mark A Gordon | Physician Assistant | 13601 Wood Forest Blvd, Houston, TX 77015 | 2007-03-27 |
| 1356365126 | Mark Richard Gordon | Dentist | 2121 Eisenhower Ave, Suite 502, Alexandria, VA 22314-4698 | 2006-07-26 |
| 1396734331 | Mark Howard Gordon | Dentist | 15 Fletcher Ave, Valley Stream, NY 11580-4000 | 2005-10-20 |
| 1386643740 | Mark J Gordon | Dentist | 4121 W 83rd St, Suite 212, Prairie Village, KS 66208-5300 | 2005-07-19 |
| 1528489184 | Mark Gordon | Nurse Anesthetist, Certified Registered | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2013-12-30 |
| 1841576543 | Mark Gordon | Pharmacist | 1305 N Casaloma Dr, Grand Chute, WI 54913-8848 | 2011-10-25 |
| 1306987946 | Mark Lorry Gordon | Family Medicine | 16661 Ventura Blvd, Suite 716, Encino, CA 91436-1914 | 2007-02-08 |
| 1891869202 | Mark Gordon | Optometrist | 230 W Jersey St, Suite 201, Elizabeth, NJ 07202-1364 | 2006-11-17 |
| 1821028382 | Mark B Gordon | Optometrist | 100 Park Ave, Baltimore, MD 21201-3416 | 2006-07-03 |
| Street Address |
978 COLVIN BLVD |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861885451 | Developmental Optometrist PC | Optometrist | 978 Colvin Blvd, Kenmore, NY 14217-2128 | 2015-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
| Find all providers in zip 14217 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194812404 | Charles Ronald Coverdale | Optometrist | 6830 Ne Bothell Way, Suite B, Kenmore, WA 98028-3546 | 2006-10-06 |
| 1407853369 | Francesco John Barbarossa | Optometrist | 3750 Delaware Ave, Kenmore, NY 14217-1002 | 2005-07-06 |
| 1447255807 | Melanie Metsa | Optometrist | 227 Highland Pkwy, Kenmore, NY 14223-1407 | 2005-06-14 |
| 1861885451 | Developmental Optometrist PC | Optometrist | 978 Colvin Blvd, Kenmore, NY 14217-2128 | 2015-03-06 |
| 1437331782 | Ron Coverdale Od Ps | Optometrist | 6830 Ne Bothell Way, Suite B, Kenmore, WA 98028-3546 | 2007-11-28 |
| 1770771834 | Diana Lee Mcfarland | Optometrist | 6830 Ne Bothell Way, Ste B, Kenmore, WA 98028-3546 | 2007-10-12 |
| 1205924164 | Ashvani K Gulati M D P C | Optometrist | 3750 Delaware Ave, Kenmore, NY 14217-1002 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770225 | Quality Eye Care Nyc Optometry PC | Optometrist | 1755 Richmond Rd, Staten Island, NY 10306-2558 | 2020-11-02 |
| 1134727860 | Paras Patel | Optometrist | 891 Route 9 Ste 700, Queensbury, NY 12804-1796 | 2020-10-14 |
| 1962009175 | Designer Optical of Plains Parkway | Optometrist | 2196a White Plains Rd, Bronx, NY 10462-1406 | 2020-10-01 |
| 1962018184 | Anna Dobrokhodova | Optometrist | 2425 29th St Apt 3f, Astoria, NY 11102-1642 | 2020-09-22 |
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1538772157 | Wilzen Anne Lingad O.d., Pllc | Optometrist | 4117 Crescent St, Long Island City, NY 11101-3861 | 2020-08-24 |
| 1760095384 | Mk Vision Center I, Inc | Optometrist | 7010 Austin St Ste 2, Forest Hills, NY 11375-4763 | 2020-08-24 |
| 1699387266 | V. Bolbirer Od P.C. | Optometrist | 1721 Avenue M, Brooklyn, NY 11230-5303 | 2020-08-17 |
| 1235749045 | Jessica V Vaidya | Optometrist | 2480 Grand Concourse, Bronx, NY 10458-5201 | 2020-08-06 |
| 1154930881 | Safeera Zafar Bhutta | Optometrist | 36 Lexington Ave, Malverne, NY 11565-2316 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
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| 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.