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ORIGINAL GORDON OPTICAL COMPANY NPI 1932223922


NPI Information

NPI: 1932223922
Provider Name: ORIGINAL GORDON OPTICAL COMPANY

Doing Business As: GORDON OPTICAL CO.

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
47 WALTHAM ST
LEXINGTON, MA
ZIP 02421
Phone: (781) 861-8814
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ORIGINAL GORDON OPTICAL COMPANY is an optician technician technologist in Lexington, MA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. ORIGINAL GORDON OPTICAL COMPANY NPI is 1932223922. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gordon Optical Co..

The provider's business location address is:

47 WALTHAM ST
LEXINGTON, MA
ZIP 02421-406
Phone: (781) 861-8814
Fax: (781) 860-7397

The provider's authorized official is Noah S Shriber .
The authorized official title is Manager and has the following contact phone number (781) 861-8814.

The enumeration date for this NPI number is 3/17/2007 and was last updated on 3/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOptician5332MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10854380002MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE ID
20854380002MEDICARE NSCMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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