Active NPI
Michael Alexander Gomez, O.D.
- Optometrist
- Hialeah, FL
National Provider Identifier
1477606366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3891
- Practice address
- 1770 W 32ND PL
Hialeah, FL 33012-4512 - Phone
- (305) 885-4477
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3891 | FL | Primary |
Addresses
Primary practice location
1770 W 32ND PL
Hialeah, FL 33012-4512
Mailing address
1447 NW 156TH Ave
Pembroke Pines, FL 33028-1665
Phone (954) 430-9564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101685200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3891 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Cukierman & Gomez, Inc | Optometrist | Current | Accepting new patients |
| Advanced Vision Care Inc | Optometrist | Current | Accepting new patients |
Locations
2873 Stirling Rd
Ft Lauderdale, FL 33312
Phone (954) 983-4969
246 S Flamingo Rd
Pembroke Pines, FL 33027
Phone (954) 442-4602
Networks
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Hialeah, FL
- NPI 1669800181
-
- Optometrist
- Ft Lauderdale, FL
- NPI 1538372065
-
- Optometrist
- Pembroke Pines, FL
- NPI 1639676281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1477606366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 NW 156TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281665",
"telephone_number": "954-430-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 W 32ND PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124512",
"telephone_number": "305-885-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "MICHAEL",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101685200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.