Dr Robert Larry Gordon, OD in Pomona, CA - Medicare Optometrist Provider

Dr Robert Larry Gordon, OD is a medicare enrolled "Optometrist" provider in Pomona, California. His current practice location is 795 E 2nd St, Suite 2, Pomona, California. You can reach out to his office (for appointments etc.) via phone at (909) 706-3794.

Dr Robert Larry Gordon is licensed to practice in California (license number 5274TPL) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285692509.

Contact Information

	Dr Robert Larry Gordon, OD
	795 E 2nd St, Suite 2, Pomona, CA 91766-2007
	(909) 706-3794
	(909) 469-5228

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Robert Larry Gordon
Gender	Male
Speciality	Optometrist
Location	795 E 2nd St, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285692509
Provider Enumeration Date: 05/03/2006
Last Update Date: 08/19/2011

Medicare PECOS Information:

PECOS PAC ID: 1658392972
Enrollment ID: I20070927000499

Medical Identifiers

Medical identifiers for Dr Robert Larry Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285692509	NPI	-	NPPES
YYY48587Y	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5274TPL (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Robert Larry Gordon allows following entities to bill medicare on his behalf.

Provider Name	Marshall B Ketchum University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720101876 PECOS PAC ID: 9739075177 Enrollment ID: O20040224000463

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Larry Gordon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Robert Larry Gordon, OD 795 E 2nd St, Suite 2, Pomona, CA 91766-2007 Ph: (909) 706-3794	Dr Robert Larry Gordon, OD 795 E 2nd St, Suite 2, Pomona, CA 91766-2007 Ph: (909) 706-3794

Reviews and Comments

Optometrist in Pomona, CA

Dr. Valerie Quan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 E Second St, Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-469-8640
Dr. Stacy Nina Hu, O.D., M.S. Optometrist Medicare: Medicare Enrolled Practice Location: 795 E. Second St., Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-706-3773
Joseph M Gray, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 E. Second St., Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-469-8640
Linda Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 Rio Rancho Rd, Pomona, CA 91766 Phone: 909-629-2472
Christine Pham, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 E. Second Street, Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-469-8640
Munish Sharma, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 E 2nd St, Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-469-8640
Nataly M Fahim, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 E Second Street, Suite 2, Pomona, CA 91766 Phone: 909-706-3899 Fax: 909-469-8640

Dr Robert Larry Gordon, OD - Medicare Optometrist in Pomona, CA