IndividualActive
William Gordon, O.D.
NPI 1528050069 · Sports Vision Optometrist · Monroe, LA
Provider details
- NPI number
- 1528050069
- Entity type
- Individual
- Primary specialty
- Sports Vision OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LA909-230T (LA)
Practice location
3000 Forsythe Ave
Monroe, LA 71201-3012
Phone: (318) 325-9474
Fax: (318) 388-1868
Mailing address
3000 Forsythe Ave
Monroe, LA 71201-3012
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.