DR. SCOTT DAVID GORDON (NPI# 1598723934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598723934 |
| Entity Type | Individual |
| Full Name | DR. SCOTT DAVID GORDON |
| Credential | O.D. |
| Practice Address |
225 E Lee Ave Yadkinville NC 27055 |
| Mailing Address |
225 E Lee Ave Yadkinville NC 27055-8227 |
| Practice Telephone | 3366792931 |
| Practice Fax Number | 3366776486 |
| Mailing Telephone | 3366792931 |
| Mailing Fax Number | 3366776486 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1999 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE - EAST BEND | 2474038D | 01 | |
| OE TRACKER | 525320 | 01 | |
| NC | 5908096 | 05 | |
| NC | OD LICENSE | 1999 | 01 |
| NPI | 1598723934 | 01 | |
| NC | DEA | MG1415694 | 01 |
| MEDICARE - YADKINVILLE | 2474038C | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497024475 | Scott Michael Gordon | Dentist | 1238 N Main Ave, Scranton, PA 18508-2130 | 2011-12-21 |
| 1316233992 | Scott Robert Gordon | Spec/Tech, Pathology | 330 Merlot Dr # 41, Prosser, WA 99350-9551 | 2011-06-22 |
| 1164745824 | Scott William Gordon | Podiatrist | 2301 Indian Wells Rd Ste A, Alamogordo, NM 88310-4611 | 2010-03-10 |
| 1306003058 | Scott S Gordon | Physician Assistant | 700 West Broadway, Fritch, TX 79036-1570 | 2008-05-20 |
| 1588765002 | Scott Jason Gordon | Counselor | 174 Blue Grass Ct, Angier, NC 27501-6861 | 2006-09-26 |
| 1821038159 | Scott Gordon | Psychiatry & Neurology | 200 S Ritchie Ave, Ravenswood, WV 26164-1721 | 2006-06-07 |
| 1083612071 | Scott Thomas Gordon | Dentist | 3905 Rr 620 N, Austin, TX 78734-2120 | 2005-07-13 |
| 1487003646 | Scott Morris Gordon | Hearing Instrument Specialist | 6091 Linglestown Rd, Harrisburg, PA 17112-1208 | 2016-06-08 |
| 1649679259 | Scott Gordon | Counselor | 4721 Reading Rd, Cincinnati, OH 45237-6107 | 2014-08-19 |
| 1487080685 | Scott Gordon | Case Manager/Care Coordinator | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2013-09-19 |
| Street Address |
225 E LEE AVE |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940552 | Gail C Gordon | Optometrist | 225 E Lee Ave, Yadkinville, NC 27055 | 2005-08-24 |
| 1659860187 | Charles Brian Jay | Optometrist | 225 E Lee Ave, Yadkinville, NC 27055-8227 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| Find all providers in zip 27055 | ||||
| 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 |
|---|---|---|---|---|
| 1912350836 | River Valley Eye Associates | Optometrist | 953 S State St, Yadkinville, NC 27055-6765 | 2016-07-15 |
| 1487807616 | Yadkin Vision Center O.d., Pllc | Optometrist | 901 West Main St., Yadkinville, NC 27055-7807 | 2008-10-31 |
| 1417940552 | Gail C Gordon | Optometrist | 225 E Lee Ave, Yadkinville, NC 27055 | 2005-08-24 |
| 1659860187 | Charles Brian Jay | Optometrist | 225 E Lee Ave, Yadkinville, NC 27055-8227 | 2018-05-10 |
| 1790731305 | Yadkin Vision Center, Od Pa | Optometrist | 902 W Main St, Yadkinville, NC 27055-7807 | 2006-05-25 |
| 1336118215 | Brett H Munn | Optometrist | 902 W Main St, Yadkinville, NC 27055-7807 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566777 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 2145 Hendersonville Rd Ste D, Arden, NC 28704-9724 | 2020-10-20 |
| 1003420399 | Kyle Kiyoshi Harada | Optometrist | 1010 Stillwell Dr Unit 2422, Durham, NC 27707-6281 | 2020-09-03 |
| 1679186530 | Mackenzie Edwards Dziedzic | Optometrist | 3150 Rogers Rd Ste 110, Wake Forest, NC 27587-4196 | 2020-08-28 |
| 1922611342 | Wise Eyes Family Eye Care, Od, Pllc | Optometrist | 631 Coliseum Dr Ste 102, Winston Salem, NC 27106-5310 | 2020-08-25 |
| 1760094601 | Myeyedr Optometry of North Carolina Pllc | Optometrist | 1910 Jake Alexander Blvd W Ste 101, Salisbury, NC 28147-1163 | 2020-08-21 |
| 1992313977 | National Vision Inc | Optometrist | 1497 Concord Pkwy N Ste 100, Concord, NC 28025-0822 | 2020-07-16 |
| 1821612409 | New Garden Eye Care Od Pllc | Optometrist | 3707 Battleground Ave Ste C, Greensboro, NC 27410-2543 | 2020-05-30 |
| 1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1609400381 | Idealeyes, O.d., Pllc | Optometrist | 905 Boyer Dr, Clemmons, NC 27012-9476 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
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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.