DR. DAVID W GORDON (NPI# 1992879407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992879407 |
| Entity Type | Individual |
| Full Name | DR. DAVID W GORDON |
| Credential | O.D. |
| Practice Address |
851 N Hollywood Way Burbank CA 91505-2814 |
| Practice Telephone | 8188422111 |
| Practice Fax Number | 8188424454 |
| Mailing Telephone | 8188422111 |
| Mailing Fax Number | 8188424454 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2013-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6675 TPA | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CM395A | 01 |
| CA | SD0066750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689060600 | David Hirsch Gordon | Emergency Medicine | Stony Brook Medicine - Em 100 Nicolls Road, Hsc, Level 4, Room 080, Stony Brook, NY 11794 | 2015-04-07 |
| 1619300852 | David Alan Gordon | Veterinarian | 2960 San Luis Rey Rd, Oceanside, CA 92058-1241 | 2013-08-12 |
| 1386994440 | David A Gordon | Dentist | 255 S Grand Ave Apt 2108, Los Angeles, CA 90012-3045 | 2012-09-17 |
| 1962799791 | David Gordon | Veterinarian | 720 Valencia St, San Francisco, CA 94110-1735 | 2011-06-30 |
| 1730398777 | David Jay Gordon | Physical Therapist | 237 Winthrop St. Rt. 44, Personal Best Physical Therapy, Rehoboth, MA 02769 | 2007-05-22 |
| 1821133554 | David E Gordon | Social Worker | 4476 Main Street, Suite 208, Amherst, NY 14226 | 2007-02-20 |
| 1568534501 | David Gordon | Nuclear Medicine | 825 Bungalow Ln, Mattituck, NY 11952-2209 | 2006-11-14 |
| 1407949332 | David Lee Gordon | Specialist | 4530 Southlake Pkwy # A, Birmingham, AL 35244-3237 | 2006-10-02 |
| 1518058775 | David Kent Gordon II | Family Medicine | 1058 W. Perimeter Road, Joint Base Andrews, MD 20762 | 2006-09-27 |
| 1487757308 | David Michael Gordon | Dentist | 23 Rotary Way, Vallejo, CA 94591-8475 | 2006-09-06 |
| Street Address |
851 N HOLLYWOOD WAY |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| 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 |
|---|---|---|---|---|
| 1083182398 | Zarine Gabrielyan | Optometrist | 907 Bethany Rd, Burbank, CA 91504-3012 | 2018-11-05 |
| 1154807345 | Lusine Vardanyan | Optometrist | 1112 W Burbank Blvd Ste 204, Burbank, CA 91506 | 2018-07-11 |
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1881118321 | Sophia Clarissa Liem | Optometrist | 2031 W Alameda Ave Ste 300, Burbank, CA 91506-2960 | 2017-07-26 |
| 1114353687 | Van Le Sim | Optometrist | 200 E Cypress Ave, Lenscrafters At Macy's, Burbank, CA 91502-1149 | 2013-09-17 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1699819151 | Robert James Berkshire Jr. | Optometrist | 7913 Narragansett Ave, Burbank, IL 60459-1807 | 2007-02-17 |
| 1417008731 | David Toshio Sakihara | Optometrist | 1601 W Verdugo Ave, Burbank, CA 91506-2101 | 2007-01-15 |
| 1417006305 | Philip Khai Do | Optometrist | 3808 Riverside Dr, #100, Burbank, CA 91505 | 2007-01-09 |
| 1134277361 | John Peter Alena | Optometrist | 111 E Magnolia Blvd, Sears Building, Burbank, CA 91502-1716 | 2007-01-05 |
| Find all providers in BURBANK | ||||
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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.