DR. TIMOTHY EUGENE GORDON O.D.
NPI 1053324988
Optometrist in Santa Fe, NM

Q: What is Timothy Gordon's NPI number?

The NPI number for Timothy Gordon is 1053324988. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Timothy Gordon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Gordon was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2006

5701 HERRERA DR, SANTA FE, NM 87507(505) 424-9139(505) 424-1384 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Timothy Eugene Gordon O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY EUGENE GORDON O.D. (NPI 1053324988) is an individual optometrist in Santa Fe, New Mexico, licensed in New Mexico (2274) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1053324988

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. TIMOTHY EUGENE GORDONCredential: O.D.

Location Address5701 HERRERA DRSanta Fe, NM 87507-2677

Mailing AddressPo Box 22683Santa Fe, NM 87502-2683 · (575) 639-4767 · Fax (505) 424-1384

Phone(505) 424-9139

Fax(505) 424-1384

Sole ProprietorYes

Enumeration DateAugust 14, 2006

Last NPPES UpdateSeptember 27, 2013

✔ NPI 1053324988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NM · 2274

Definition

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.

5701 HERRERA DR, Santa Fe, NM 87507

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Other Identifiers 2

Medicaid000P4328NM

Medicare UPINT74972NM

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TORI NICOLE MCKINNEY RPH

Pharmacist