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

Michael D Gordon OD PA

Organization Optometrist · NPI 1306931472

Michael D Gordon OD PA is an Optometrist in Derby, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
PA — Professional association
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 10462 MICHAEL D GORD (KS)

Record details

NPI number1306931472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gordon — President · (316) 684-2020
NPI enumeratedOctober 4, 2006
Last updated in NPPESFebruary 25, 2008
Mailing address1221 N Rock Rd, Derby, KS 67037-3678

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