Whalio Doctors

NPI 1023181062

Thomas Vincent Gordon, OD

Practitioner Optometrist South Casco, ME

Practice location

Address
195 Roosevelt Trail, South Casco, ME 04077-0200
Phone
(207) 655-2020
Fax
(207) 655-7770
Mailing address
PO Box 200, South Casco, ME 04077-0200

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT 760 (ME)

Registry record

NPI
1023181062
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Nov 2006
Record last updated
8 Jul 2007

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.