NPIMap

Organization Active NPI

DRS. Cukierman & Gomez, Inc

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1669800181
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRS. CUKIERMAN & GOMEZ, INC
Practice address
1770 W 32ND PL
Hialeah, FL 33012-4512
Phone
(305) 885-4477
Fax
(305) 885-2396
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Dr. Michael A Gomez, O.D.NPI 1477606366
Title
Vice President
Phone
(954) 471-6453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1770 W 32ND PL
Hialeah, FL 33012-4512

Mailing address

1770 W 32ND PL
Hialeah, FL 33012-4512
Phone (305) 885-4477

Other identifiers 1

IdentifierTypeStateIssuer
103620900MedicaidFL

Other names 1

  • Advanced Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190918002359 FL Part B Supplier - Clinic/Group Practice 9436489416 Receives reassigned benefits from 12 practitioners
4 other NPIs on this enrollment
Practice locations: Boca Raton, FL; Miami Gardens, FL; Pembroke Pines, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1669800181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 W 32ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124512",
            "telephone_number": "305-885-4477",
            "fax_number": "305-885-2396"
        },
        {
            "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",
            "fax_number": "305-885-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. CUKIERMAN & GOMEZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-471-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103620900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.