Developmental Optometrist PC
NPI 1861885451ActiveOrganization· Optometrist· Kenmore, NY
Optometrist in Kenmore, New York, registered in NPPES in March 2015. The authorized official on file is Mark Jay Gordon, OD, Owner.
Overview
| NPI | 1861885451 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2015 |
| Last updated in NPPES | May 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TUV004506 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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