Organization Active NPI

Gambino Eye Associates, Inc.

  • Optometrist
  • Addison, TX
National Provider Identifier
1053588780
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4387T Issued in TX
Legal business name
GAMBINO EYE ASSOCIATES, INC.
Practice address
4150 Belt Line Rd
Ste 200
Addison, TX 75001-4354
Phone
(972) 386-9646
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michel Joseph Gambino, O. D.
Title
President
Phone
(972) 386-9646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4387T TX Primary

Addresses

Primary practice location

4150 Belt Line Rd
Ste 200
Addison, TX 75001-4354

Mailing address

4150 Belt Line Rd
Ste 200
Addison, TX 75001-4354
Phone (972) 386-9646

National Provider Directory

National Provider Directory

Locations

4150 Belt Line Rd
Ste 200
Addison, TX 75001
Phone (972) 386-9646

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1053588780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 BELT LINE RD",
            "address_2": "STE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014354",
            "telephone_number": "972-386-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 BELT LINE RD",
            "address_2": "STE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014354",
            "telephone_number": "972-386-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBINO EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "GAMBINO",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-386-9646",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4387T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.