OrganizationActive
Michael D Gordon OD PA
NPI 1497840565 · Optometrist · Wellington, KS
Michael D Gordon OD PA is a Optometrist organization in Wellington, KS (NPI 1497840565).
Provider details
- NPI number
- 1497840565
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michael Gordon, President(316) 684-2020
- License
- 10462 MICHAEL D GORD (KS)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 N Washington Ave
Wellington, KS 67152-3949
Phone: (620) 326-2020
Fax: (620) 326-6350
Street-level locationGet directions
Mailing address
110 N Washington Ave
Wellington, KS 67152-3949
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Michael D Gordon OD PA's NPI number?
- Michael D Gordon OD PA's National Provider Identifier (NPI) is 1497840565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael D Gordon OD PA?
- Michael D Gordon OD PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Michael D Gordon OD PA located?
- Michael D Gordon OD PA's practice location on file with NPPES is 110 N Washington Ave, Wellington, KS 67152-3949.
- What is Michael D Gordon OD PA's phone number?
- The practice phone number listed in the NPPES registry for Michael D Gordon OD PA is (620) 326-2020.
- Who is the authorized official for Michael D Gordon OD PA?
- The authorized official listed on Michael D Gordon OD PA's NPPES record is Michael Gordon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael D Gordon OD PA's NPI active?
- Yes — Michael D Gordon OD PA's NPI (1497840565) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.