Dr. Kenneth Bryce Gordon is a Richmond, Virginia based male Optometrist with 28 years of experience in Optometry. He completed his graduation from Pennsylvania College Of Optometry in 1996. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kenneth Bryce Gordon is 0618000495 for Optometry in Virginia. Dr. Kenneth Bryce Gordon examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Kenneth Bryce Gordon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
28+ years
Medical School Attended:
Pennsylvania College Of Optometry
Graduation Year:
1996
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4811 S Laburnum Ave, Richmond, Virginia, 23231-2713
Phone:
804-226-1144
Fax:
804-236-9026
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6507023405
Enrollment ID:
I20120203000768
NPI Number:
1497752208
NPI Enumeration Date:
07 Jul, 2005
NPI Last Update On:
21 May, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Bryce Gordon are as mentioned below.
License Number
Specialization
State
Status
0618000495
Optometry
Virginia
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kenneth Bryce Gordon has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Clifford A Roffis Od P C (4385711191)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Bryce Gordon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DA5536
Other
Virginia
RAILROAD MEDICARE PIN
U84594
Other
Virginia
RAILROAD MEDICARE UPIN
541783118
Other
Virginia
RAILROAD MEDICARE TAX ID
9232362
Medicaid
Virginia
541783118
Other
MEDICARE TAX ID
P00068065
Other
Virginia
RAILROAD PROVIDER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4811 S Laburnum Ave, Richmond, Virginia
Zip:
23231-2713
Phone Number:
804-226-1144
Fax Number:
804-236-9026
Patients can reach Dr. Kenneth Bryce Gordon at 4811 S Laburnum Ave, Richmond, Virginia or can call to book an appointment on 804-226-1144. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.