MICHAEL D GORDON OD PA – Optometrist, NPI 1306931472

MICHAEL D GORDON OD PA is a healthcare provider. based in Derby, Kansas. specializing in Optometrist. The organization holds a License No. 10462 MICHAEL D GORD (KS). The NPI Number for MICHAEL D GORDON OD PA is 1306931472

Main info

Organization
Name
MICHAEL D GORDON OD PA
NPI
1306931472
Phone
(316) 788-2020
Address
1221 N ROCK RD
Authorized Official
MICHAEL D GORDON PRESIDENT OD
Enumeration Date
4 October 2006
Last Update Date
25 February 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL D GORDON OD PA

  • 1221, North Rock Road, Derby, Gypsum Township, Sedgwick County, Kansas, 67037, United States

    DERBY, KS 670373678

    Phone: (316) 788-2020

    Fax: (316) 788-7451

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67037)

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Frequently asked questions

What federal number belongs to MICHAEL D GORDON OD PA?
The federal identifier for MICHAEL D GORDON OD PA is NPI 1306931472.
Is MICHAEL D GORDON OD PA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MICHAEL D GORDON OD PA list a primary specialty?
If you are matching referrals, note Optometrist for MICHAEL D GORDON OD PA. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL D GORDON OD PA?
The page summarizes Derby, Kansas for MICHAEL D GORDON OD PA; expand the address list for detail.
What if Derby, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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