Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MD Gordon OD, LLC

Organization Optometrist · NPI 1255636817

MD Gordon OD, LLC is an Optometrist in Derby, Kansas. Licensed in Kansas. Registered with an NPI since 2011.

Licensed in
KS
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1221 N Rock Rd
Derby, KS 67037-3678
Phone: (316) 788-2020
Fax: (316) 788-7451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1046-3 (KS)

Record details

NPI number1255636817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gordon — President · (316) 788-2020
NPI enumeratedJanuary 12, 2011
Last updated in NPPESOctober 19, 2016
Mailing address1221 N Rock Rd, Derby, KS 67037-3678

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