NPI 1902046808 · live from the CMS NPI Registry
Sara M Gordon, OD
Optometrist in Sanford, ME. National Provider Identifier 1902046808, active.
NPI record
| NPI | 1902046808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 272 Cottage St, Sanford, ME 04073 |
| Practice phone | 207-324-8888 |
| Enumerated | March 5, 2009 |
| Last updated | July 16, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT901 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.