MEDICARE: ERIC SCOTT GORDON O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC3796	FL
2	152W00000X	Optometrist	OPT002106	GA

General Provider Information

NPI Number	:	1982739595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC SCOTT GORDON O.D.

Provider Business Mailing Address
First Line	:	2405 ASHFORD DR
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31721-9246
Country	:	US
Telephone Number	:	229-883-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1569 US HIGHWAY 19 S
Second Line	:
City	:	LEESBURG
State	:	GA
Zip	:	31763-4939
Country	:	US
Telephone Number	:	229-439-1200
Fax Number	:	229-255-2929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	09/07/2022

Similar Medicare Providers

1376539445 — DR. RENEE CANDACE AHLMARK-GORDON OD
Practice Location Address:

1569 US HIGHWAY 19 S
LEESBURG, GA
31763-4939

Practice Phone: 229-439-1200
Practice Fax: 229-255-2929

1174121941 — MR. PATRICK L SMITH LPC
Practice Location Address:

117 DOVE LN
LEESBURG, GA
31763-6211

Practice Phone: 229-291-7283
Practice Fax:

1639150790 — WILLIAM J. DAVANZO, M.D., P.C.
Practice Location Address:

145 QUAIL PINES DR
LEESBURG, GA
31763-5364

Practice Phone: 912-258-4923
Practice Fax:

1598947970 — DR. WILLIAM JAMES DAVANZO M.D.
Practice Location Address:

145 QUAIL PINES DR
LEESBURG, GA
31763-5364

Practice Phone: 912-258-4923
Practice Fax:

1295734663 — U SAVE IT PHARMACY INC
Practice Location Address:

100 TABATHA ST
LEESBURG, GA
31763-4933

Practice Phone: 229-436-6992
Practice Fax: 229-436-6947

1952396665 — MEDICAL ASSOCIATES OF ALBANY, P.C.
Practice Location Address:

101 OAKLAND CROSSING DR
LEESBURG, GA
31763-7228

Practice Phone: 229-432-1440
Practice Fax: 229-889-8263

Directions to “ ERIC SCOTT GORDON O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.