NPI 1336302900

James R Gordon

Organisation Eyewear Supplier Worcester, MA

Practice location

Address: 591 Lincoln St, Worcester, MA 01605-1932
Phone: (508) 852-3636
Fax: (508) 459-5082

Authorised official

Name: Anita Fresolo
Title: Billing Coordinator
Phone: (508) 853-2020

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Massachusetts →

Registry record

NPI: 1336302900
Entity type: Organization
NPI issued: 3 Jul 2008
Record last updated: 3 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.