DR. MICHAEL A GORDON (NPI# 1801807912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801807912 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A GORDON |
| Credential | O.D. |
| Practice Address |
3901 Nw 79th Ave Ste 105 Doral FL 33166-6554 |
| Practice Telephone | 3054312034 |
| Practice Fax Number | 3057179995 |
| Mailing Telephone | 3054312034 |
| Mailing Fax Number | 3057171558 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC2941 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 6205305 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1225562622 | Michael Don Gordon | Clinical Nurse Specialist | 373 Breezeel School Rd, Benton, KY 42025-5376 | 2017-04-12 |
| 1275981805 | Michael Gordon | Community Health Worker | 659 E Jefferson St, Freeport, IL 61032-6027 | 2016-05-24 |
| 1104263342 | Michael Adam Gordon | Specialist/Technologist | 3802 Isabella Ave, Cincinnati, OH 45209-2112 | 2013-05-29 |
| 1902961410 | Michael Gordon | Psychiatry & Neurology | 23 Knott Dr, Glen Cove, NY 11542-4116 | 2006-12-26 |
| 1851407027 | Michael Anthony Gordon | Dentist | 829 Main St, Schererville, IN 46375-1100 | 2006-08-21 |
| 1821042433 | Michael Edward Gordon | Dentist | 635 Chicago Ave, Evanston, IL 60202 | 2006-05-19 |
| 1609842053 | Michael Charles Gordon | Obstetrics & Gynecology | 801 North 29th Street, Billings, MT 59101-5100 | 2006-02-26 |
| 1316917123 | Michael W Gordon | Optometrist | 214 N. Bdwy, Spring Valley, MN 55975 | 2006-01-24 |
| Street Address |
3901 NW 79TH AVE STE 105 |
| City | DORAL |
| State | FL |
| Zip Code | 33166-6554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402027 | Sfl Nutrition | Nutritionist | 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 | 2019-08-11 |
| 1629543590 | Rosa Alina Alayo | Nurse Practitioner | 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 | 2018-10-08 |
| 1518445618 | Icare Behavior Services, LLC | Behavior Technician | 8180 Nw 36th St Ste 100l, Doral, FL 33166 | 2018-07-31 |
| 1871087684 | Yohjan Suarez-martinez | Nurse Practitioner | 6221 Nw 36 Th St, Miami, FL 33166 | 2018-06-15 |
| 1639683709 | Sonia Gloria Garcia | Nurse Practitioner | 7325 Nw 36th St, Miami, FL 33166 | 2017-11-27 |
| 1891214607 | Jose Sanchez | Early Intervention Provider Agency | 1036 Quail Ave, Miami Springs, FL 33166 | 2017-09-12 |
| 1659893022 | Yanelis Pineiro | Behavioral Analyst | 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 | 2017-07-07 |
| 1720509748 | Roxana Rodriguez | Behavior Technician | 8359 Nw South River Dr, Medley, FL 33166 | 2017-06-29 |
| 1457881278 | Dairene Gonzalez Ruiz | Behavior Technician | 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 | 2017-06-14 |
| 1699204198 | Oz Medical Center Inc | Physical Medicine & Rehabilitation | 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 | 2017-06-08 |
| Find all providers in zip 33166 | ||||
| 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 |
|---|---|---|---|---|
| 1336631340 | Justin Pierre Dasilva | Optometrist | 9729 Nw 41st St Ste 23, Doral, FL 33178-2944 | 2018-06-05 |
| 1245594753 | Maria M Casas Od Inc | Optometrist | 1455 Nw 107th Ave, Suite 790, Doral, FL 33172-2711 | 2012-06-28 |
| 1598073751 | All Access Eyecare, P.a. | Optometrist | 9549 Nw 41st St, Doral, FL 33178-2371 | 2010-09-21 |
| 1720210487 | Norma Barajas | Optometrist | 8300 Park Blvd, Doral, FL 33126-3832 | 2009-08-14 |
| 1962654616 | Chauntel E Da Silva | Optometrist | 9729 Nw 41st St # 23, Doral, FL 33178 | 2008-10-14 |
| 1972703148 | Jamie Lynn Althoff | Optometrist | 10903 Nw 83rd St, 208, Doral, FL 33178-1726 | 2007-07-24 |
| 1245379221 | Guy Mathew Young | Optometrist | 10676 N.w. 19 St, Doral, FL 33172 | 2007-02-06 |
| 1851438519 | Maria M Casas | Optometrist | 1455 Nw 107th Ave Ste 790, Doral, FL 33172-2721 | 2007-01-31 |
| 1568517654 | Johanna L Young | Optometrist | 10676 Nw 19th St, Doral, FL 33172-2542 | 2007-01-25 |
| 1932274826 | Lori Lynn Espinoza | Optometrist | 10445 Nw 41st St, Doral, FL 33178-1807 | 2006-11-24 |
| Find all providers in DORAL | ||||
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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.