| William D. Gordon, O.d. Inc. | |
| 
					3000 Forsythe Ave, Monroe, LA 71201-3012  | |
| (318) 807-2020 | |
| (318) 388-1868 | 
| Full Name | William D. Gordon, O.d. Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 3000 Forsythe Ave, Monroe, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407054901 | NPI | - | NPPES | 
| 1337170 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | LA909-230T (Louisiana) | Primary | 
| Provider Name | William D Gordon | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1528050069 PECOS PAC ID: 1254380926 Enrollment ID: I20050121000101  | 
| Provider Name | James A Lamar | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1346654126 PECOS PAC ID: 2769603018 Enrollment ID: I20141030000257  | 
| Provider Name | Melissa M Polk | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1992431597 PECOS PAC ID: 8426431917 Enrollment ID: I20220816002489  | 
| Mailing Address | Practice Location Address | 
|---|---|
| William D. Gordon, O.d. Inc. 3000 Forsythe Ave, Monroe, LA 71201-3012 Ph: (318) 807-2020  | William D. Gordon, O.d. Inc. 3000 Forsythe Ave, Monroe, LA 71201-3012 Ph: (318) 807-2020  | 
Dr. Robert Dale Cagnolatti, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1812 Roselawn Ave, Monroe, LA 71201 Phone: 318-387-9626 Fax: 318-325-9425  | |
Dr. Elvis Surles, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2209 Forsythe Ave, Monroe, LA 71201 Phone: 318-387-5657 Fax: 318-325-8472  | |
Dr. Joseph Carter Moss, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2209 Forsythe Ave, Monroe, LA 71201 Phone: 318-387-5657 Fax: 318-325-8472  | |
Dr. Michael J Haynes, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2808 Forsythe Ave, Monroe, LA 71201 Phone: 318-323-4994 Fax: 318-388-6913  | |
Dr. William David Gordon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3000 Forsythe Ave, Monroe, LA 71201 Phone: 318-325-9474 Fax: 318-388-1868  | |
Justin Sasser, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4700 Millhave Road #1090, Monroe, LA 71203 Phone: 318-325-4598 Fax: 318-325-4924  |