National Provider Identifier
Developmental Optometrist PC
Developmental Optometrist PC is listed in the NPPES registry with a primary specialty of Optometrist in Kenmore, NY and a listed phone number of (716) 871-0074.
Source: public NPPES record, last updated May 27, 2015. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1861885451
- Provider Type
- Organization
- Primary Specialty
- Optometrist
- Enumeration Date
- March 06, 2015
- Last Updated
- May 27, 2015
Practice Location
- 978 Colvin Blvd
- Kenmore, NY 14217-2128
Phone: (716) 871-0074
Authorized Official
- Name
- Dr. Mark Jay Gordon
- Title
- Owner
- Credentials
- OD
- Phone
- (716) 871-0074
Specialties
- Optometrist (152W00000X)
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Organization Overview
Developmental Optometrist PC is the Kenmore, New York optometric vision therapy practice operating as the office of Dr. Mark J. Gordon. The practice presents itself as a Western New York vision therapy resource and says it has served patients since 1993. Its official site describes Dr. Gordon as board certified in vision development and therapy, with care focused on customized optometric vision therapy, including support for functional vision problems such as learning-related vision issues, strabismus, amblyopia, and post-concussion or post-stroke vision challenges.
Full Record
- NPI
- 1861885451
- Entity Type
- Organization
- Organization Name
- Developmental Optometrist PC
- Mailing Street Address
- 978 Colvin Blvd
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2128
- Mailing Country
- US
- Mailing Phone
- (716) 871-0074
- Mailing Fax
- (716) 878-8973
- Practice Street Address
- 978 Colvin Blvd
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2128
- Practice Country
- US
- Practice Phone
- (716) 871-0074
- Practice Fax
- (716) 878-8973
- Enumeration Date
- March 06, 2015
- Last Updated
- May 27, 2015
- Authorized Official Last Name
- Gordon
- Authorized Official First Name
- Mark
- Authorized Official Middle Name
- Jay
- Authorized Official Title
- Owner
- Authorized Official Phone
- (716) 871-0074
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- OD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Taxonomies
- Optometrist (152W00000X)