ORIGINAL GORDON OPTICAL COMPANY (NPI# 1932223922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932223922 |
| Entity Type | Organization |
| Organization Name | ORIGINAL GORDON OPTICAL COMPANY |
| Other Organization Name | GORDON OPTICAL CO. |
| Practice Address |
47 Waltham St Lexington MA 02421-5406 |
| Practice Telephone | 7818618814 |
| Practice Fax Number | 7818607397 |
| Mailing Telephone | 7818618814 |
| Mailing Fax Number | 7818607397 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | MR. NOAH S SHRIBER (MANAGER) |
| Authorized Official Telephone | 7818618814 |
| Authorized Official Credential | R.D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
5332 | MA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Gordon Optical Co. | Doing Business As Name - Organization |
| Street Address |
47 WALTHAM ST |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306923776 | Yale Gordon Shriber | Optometrist | 47 Waltham St, Lexington, MA 02421-5406 | 2006-11-01 |
| 1205461704 | Noah Stern Shriber | Technician/Technologist | 47 Waltham St, Lexington, MA 02421-5406 | 2020-03-05 |
| 1295997674 | Gordon Eye Associates, Inc | Optometrist | 47 Waltham St, Lexington, MA 02421-5406 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955227 | My Optical | Technician/Technologist | 808 Highway 378, Lexington, SC 29072-8377 | 2020-02-27 |
| 1720276454 | Kenneth R Hayden | Technician/Technologist | 740 South Limeston, Lexington, KY 40536-0001 | 2007-10-09 |
| 1326241506 | Kentucky Medical Services Foundation | Technician/Technologist | 740 S Limeston, Lexington, KY 40536-0001 | 2007-06-06 |
| 1881710713 | Richardson Vision Center | Technician/Technologist | 1757 Alexandria Dr, Lexington, KY 40504-3111 | 2007-03-22 |
| 1801939863 | M.d. Optique, Inc | Technician/Technologist | 3801 Mall Road, Suite 115, Lexington, KY 40503 | 2007-02-15 |
| 1255495107 | Wal-mart Stores East, Lp | Technician/Technologist | 2350 Grey Lag Way Rd., Lexington, KY 40509 | 2006-12-21 |
| 1487737318 | Wal-mart Stores East, Lp | Technician/Technologist | 37 Plaza Pkwy, Lexington, NC 27292-5359 | 2006-10-23 |
| 1902987886 | Wallace Williams | Technician/Technologist | 153 Patchen Dr, Ste 1, Lexington, KY 40517-4420 | 2006-10-18 |
| 1003908849 | Peck Opticians Inc | Technician/Technologist | 370 Longview Drive, Lexington, KY 40503-1817 | 2006-09-29 |
| 1194834713 | Professional Opticians Psc | Technician/Technologist | 165 Moore Dr, Lexington, KY 40503 | 2006-08-29 |
| Find all providers in LEXINGTON | ||||
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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.