NPI 1053324988

Timothy Eugene Gordon, OD

Practitioner Optometrist Santa Fe, NM

Practice location

Address: 5701 Herrera Dr, Santa Fe, NM 87507-2677
Phone: (505) 424-9139
Fax: (505) 424-1384
Mailing address: PO Box 22683, Santa Fe, NM 87502-2683

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2274 (NM)

Other Optometrist providers in New Mexico →

Registry record

NPI: 1053324988
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2006
Record last updated: 27 Sep 2013

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.