NPI 1518915966

Frederic Troy Gordon, OD

Practitioner Optometrist Sun Prairie, WI

Practice location

Address: 1455 W Main St, Sun Prairie, WI 53590-1837
Phone: (608) 825-2020

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1470 035 (WI)

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Registry record

NPI: 1518915966
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 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.