Kenneth Bryce Gordon (NPI# 1497752208, PAC ID# 6507023405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1497752208 |
| PAC ID by PECOS | 6507023405 |
| Professional Enrollment ID | I20120203000768 |
| Full Name | Kenneth Bryce Gordon |
| Organization Legal Name | CLIFFORD A ROFFIS OD P C |
| Address |
4811 S Laburnum Ave Richmond VA 23231-2713 |
| Phone Number | 8042261144 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4385711191 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4811 S Laburnum Ave, Richmond, VA 23231-2713 | 8042261144 | CLIFFORD A ROFFIS OD P C |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 2% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | CLIFFORD A ROFFIS OD P C |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifford Alan Roffis | Optometry | Clifford A Roffis Od P C | 4811 S Laburnum Ave, Richmond, VA 23231-2713 |
| Michael H Osterhoudt | Optometry | Clifford A Roffis Od P C | 4811 S Laburnum Ave, Richmond, VA 23231-2713 |
| Street Address |
4811 S LABURNUM AVE |
| City | RICHMOND |
| State | VA |
| Zip | 23231-2713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifford Alan Roffis | Optometry | Clifford A Roffis Od P C | 4811 S Laburnum Ave, Richmond, VA 23231-2713 |
| Michael H Osterhoudt | Optometry | Clifford A Roffis Od P C | 4811 S Laburnum Ave, Richmond, VA 23231-2713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Ann Boggs | Nurse Practitioner | Bon Secours Memorial Regional Medical Center Inc | 4630 S Laburnum Ave, Richmond, VA 23231-2424 |
| Diane Sinnatamby | Infectious Disease | Bon Secours Memorial Regional Medical Center Inc | 4620 S Laburnum Ave, Richmond, VA 23231-2424 |
| Dariush Ashrafi | Family Medicine | Bon Secours Memorial Regional Medical Center Inc | 4630 S Laburnum Ave, Richmond, VA 23231-2424 |
| William F Moore | Family Medicine | Bon Secours Memorial Regional Medical Center Inc | 4630 S Laburnum Ave, Richmond, VA 23231-2424 |
| Sherry C Allgood | Nurse Practitioner | Bon Secours Memorial Regional Medical Center Inc | 4620 S Laburnum Ave, Richmond, VA 23231-2424 |
| Matthew Shane Harville | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Priscilla Witwer | Clinical Social Worker | Henrico County | 4825 S Laburnum Ave, Richmond, VA 23231-2713 |
| Brandon Shane Reynolds | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Fegan H Richmond | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Nicholas L Klein | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Find all physicians in zip 23231 | |||
| City | RICHMOND |
| Zip Code | 23231 |
| Specialty | OPTOMETRY |
| City + Specialty | RICHMOND + OPTOMETRY |
Please comment or provide details below to improve the information on Kenneth Bryce Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.