Gomez, Jose Alejandro

Gomez, Jose Alejandro is an sole proprietor health care provider with primary practice located at 7508 37Th Ave , Jackson Heights NY 11372-6538. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gomez, Jose Alejandro can be contacted via phone (718) 476-1458.

Contact Information

Primary practice address
7508 37Th Ave Jackson Heights NY 11372-6538
Phone: (718) 476-1458
Fax: (718) 476-1462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT6417 New York

Profile Details

NPI number 1588737977
LBN Legal business name Gomez, Jose Alejandro
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Mar 30th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588737977 NPPES
New York Other A01762 EYEMED
New York Other P4065567 EYEMED
New York Other T006417 EYEMED
New York MEDICAID 02266351 EYEMED
New York Other 968N EYEMED
New York Other 7184761458 EYEMED
New York Other 3101578 EYEMED

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