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M.D. GORDON O.D., LLC
NPI 1255636817
Optometrist in Derby, KS

Active since January 12, 2011
1221 N ROCK RD, DERBY, KS 67037(316) 788-2020(316) 788-7451 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About M.d. Gordon O.d., Llc NPPES

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

M.D. GORDON O.D., LLC (NPI 1255636817) is a healthcare organization registered as an optometrist in Derby, Kansas and active in the NPI registry since January 2011. The organization lists Michael D Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1255636817
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameM.D. GORDON O.D., LLC
Location Address1221 N ROCK RDDerby, KS 67037-3678
Mailing Address1221 N Rock RdDerby, KS 67037-3678 · (316) 788-2020 · Fax (316) 788-7451
Phone(316) 788-2020
Fax(316) 788-7451
Organization SubpartNo
Authorized OfficialMichael D GordonPresident · (316) 788-2020
Enumeration DateJanuary 12, 2011
Last NPPES UpdateOctober 19, 2016
✔ NPI 1255636817 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 KS · 1046-3
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.
1221 N ROCK RD, Derby, KS 67037
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

SHONDA L KOOSER T-MFT 03519-T
Marriage & Family Therapist
1221 N ROCK RD
DERBY, KS 67037
Sedgwick County (316) 789-8511
MICHAEL D GORDON OD PA
Optometrist
1221 N ROCK RD
DERBY, KS 67037
Sedgwick County (316) 788-2020
CASSIDY JENSEN
Counselor (Professional)
1221 N ROCK RD
DERBY, KS 67037
Sedgwick County (316) 747-5072
KENNETH JOSEPH KOOSER LMFT 03643-T
Marriage & Family Therapist
1221 N ROCK RD
DERBY, KS 67037
Sedgwick County (316) 789-8511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M.D. Gordon O.D., LLC's NPI number?

The NPI number for M.D. Gordon O.D., LLC is 1255636817. It was assigned to this organization in the NPPES registry on January 12, 2011.

Where is M.D. Gordon O.D., LLC located?

M.D. Gordon O.D., LLC is located at 1221 N Rock Rd, Derby, KS 67037. The listed phone number is (316) 788-2020.

What is M.D. Gordon O.D., LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for M.D. Gordon O.D., LLC was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.