Chales Gamboa (NPI# 1548675515, PAC ID# 2163643818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1548675515 |
| PAC ID by PECOS | 2163643818 |
| Professional Enrollment ID | I20141202002328 |
| Full Name | Chales Gamboa |
| Organization Legal Name | MILLER EYECARE ANNAPOLIS DC, LLC |
| Address |
1330 Connecticut Nwave Washington DC 20036-1704 |
| Phone Number | 2027855700 |
| Gender | M |
| Medical School | INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7012079064 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1330 Connecticut Nwave, Washington, DC 20036-1704 | 2027855700 | MILLER EYECARE ANNAPOLIS DC, LLC |
| Organization Legal Name | MILLER EYECARE ANNAPOLIS DC, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Tran | Optometry | Miller Eyecare Annapolis Dc, LLC | 1330 Connecticut Nwave, Washington, DC 20036-1704 |
| Street Address |
1330 CONNECTICUT NWAVE |
| City | WASHINGTON |
| State | DC |
| Zip | 20036-1704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Tran | Optometry | Miller Eyecare Annapolis Dc, LLC | 1330 Connecticut Nwave, Washington, DC 20036-1704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aisha R Riley | Nurse Practitioner | 2001 Massachusetts Nwave, Washington, DC 20036-1011 | |
| Nyeesha N Thompson | Nurse Practitioner | Eric C. Marshall Md PC | 6 Dupont Cir Nw, Minuteclinic Diagnostic of Dc, Washington, DC 20036-1108 |
| Tara Devineni | Clinical Social Worker | Tara Devineni, Licsw, LLC | 1555 Connecticut Ave Nw, Washington, DC 20036-1111 |
| Eric C Bergman | Psychiatry | 1555 Connecticut Ave Nw, Suite 300w, Washington, DC 20036-1125 | |
| Carrie E Renfro | Clinical Social Worker | Family Matters of Greater Washington | 1509 16th St Nw, Washington, DC 20036-1461 |
| Jorge A Membreno | Clinical Social Worker | Family Matters of Greater Washington | 1509 16th St Nw, Washington, DC 20036-1461 |
| Trinaty N Fofana | Clinical Social Worker | Family Matters of Greater Washington | 1509 16th St Nw, Washington, DC 20036-1461 |
| Mary R Cuevas | Clinical Social Worker | Family Matters of Greater Washington | 1509 16th St Nw, Washington, DC 20036-1461 |
| Eugenia M Priddy | Psychiatry | 1350 Connecticut Ave Nw, Suite 602, Washington, DC 20036-1716 | |
| Jon White | General Surgery | 1350 Connecticut Ave Nw, Suite 1225 Jon White Md Office, Washington, DC 20036-1718 | |
| Find all physicians in zip 20036 | |||
| City | WASHINGTON |
| Zip Code | 20036 |
| Specialty | OPTOMETRY |
| City + Specialty | WASHINGTON + OPTOMETRY |
Please comment or provide details below to improve the information on Chales Gamboa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.