OrganizationActive
Developmental Optometrist PC
NPI 1861885451 · Optometrist · Kenmore, NY
Developmental Optometrist PC is a Optometrist organization in Kenmore, NY (NPI 1861885451).
Provider details
- NPI number
- 1861885451
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Mark Gordon, Owner(716) 871-0074
- License
- TUV004506 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
978 Colvin Blvd
Kenmore, NY 14217-2128
Phone: (716) 871-0074
Fax: (716) 878-8973
Street-level locationGet directions
Mailing address
978 Colvin Blvd
Kenmore, NY 14217-2128
Registry dates
- Enumerated
- 2015-03-06
- Last updated
- 2015-05-27
Frequently asked questions
- What is Developmental Optometrist PC's NPI number?
- Developmental Optometrist PC's National Provider Identifier (NPI) is 1861885451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Developmental Optometrist PC?
- Developmental Optometrist PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Developmental Optometrist PC located?
- Developmental Optometrist PC's practice location on file with NPPES is 978 Colvin Blvd, Kenmore, NY 14217-2128.
- What is Developmental Optometrist PC's phone number?
- The practice phone number listed in the NPPES registry for Developmental Optometrist PC is (716) 871-0074.
- Who is the authorized official for Developmental Optometrist PC?
- The authorized official listed on Developmental Optometrist PC's NPPES record is Mark Gordon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Developmental Optometrist PC's NPI active?
- Yes — Developmental Optometrist PC's NPI (1861885451) is active in the NPPES registry as of the last update on 2015-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.