Renee M Gomez-Chlebica OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RENEE M GOMEZ-CHLEBICA OD LLC

Practice address

142 N Main St
Belchertown, MA 01007-9433

Phone

(413) 323-1196

Fax

(413) 323-1186

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Renee Mignon Gomez Chlebica, ODNPI 1811277163

Title

Owner

Phone

(508) 248-1188

Specialties & licenses 1

Addresses

Tax ID family

Renee M Gomez-Chlebica OD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renee M Gomez-Chlebica OD LLC

  • Optometrist
  • Sturbridge, MA
  • NPI 1841657426
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Mignon Gomez Chlebica, O.D.

  • Optometrist
  • Sturbridge, MA
  • NPI 1811277163
  NPD Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1184299281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MASONIC HOME RD # 6",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015076301",
            "telephone_number": "774-573-1370",
            "fax_number": "508-248-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 N MAIN ST",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079433",
            "telephone_number": "413-323-1196",
            "fax_number": "413-323-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE M GOMEZ-CHLEBICA OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "GOMEZ CHLEBICA",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MIGNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-248-1188",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emelda T Pratt
• Premier Health Group Inc
• Rebecca Divico, PLLC
• Robert E Rechtschaffen, MD
• Amy Remick
• Christopher R Reynolds, L.M.T.
• Michelle L Ricker, PAC
• Frank Robbins, PH.D
• Amy Robidoux, NP
• Zachary Robidoux, PA

• Optometrist in Belchertown, MA
• Providers in Belchertown, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.