Omar Gonzalez


Address: 3420 W Illinois Ave, Suite 700, Dallas, TX 75211-8799

Omar Gonzalez (NPI# 1275796179, PAC ID# 6103965710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1275796179
PAC ID by PECOS 6103965710
Professional Enrollment ID I20091120000041
Full Name Omar Gonzalez
Address 3420 W Illinois Ave
Suite 700
Dallas
TX 75211-8799
Gender M
Medical School PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year 2008
Primary Specialty OPTOMETRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3420 W Illinois Ave, Suite 700, Dallas, TX 75211-8799

Organization Information

Office Location

Street Address 3420 W ILLINOIS AVE
SUITE 700
City DALLAS
State TX
Zip 75211-8799

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Competitor

Search similar physicians

City DALLAS
Zip Code 75211
Specialty OPTOMETRY
City + Specialty DALLAS + OPTOMETRY

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Dataset Information

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.

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