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Contact Information

CONSUELO E CHAVEZ GOMEZ, OD
7508 37TH AVE
JACKSON HEIGHTS, NY11372-6538
 Phone: 718-476-1458
 Fax: 718-476-1462
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CONSUELO E CHAVEZ GOMEZ · (Female)

NPI Number 1013080415
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/16/2006
Last updated 03/01/2013 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # VUT006194
  • NY Medicaid 02042368
  • NY Other 922825 BLOCK
  • NY Other 52743 DAVIS
  • NY Other NY6871 EYEMED
  • NY Other T006194 METROPLUS
  • NY Other OV27627 SPECTERA
  • NY Other 3101581 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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