Michel Joseph Gambino III, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4387T Issued in TX

Practice address

4150 Belt Line Rd
Addison, TX 75001-4354

Phone

(972) 386-9646

Fax

(972) 386-3371

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972600831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14586 BERKLEE DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013532",
            "telephone_number": "972-386-9646",
            "fax_number": "972-386-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 BELT LINE RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014354",
            "telephone_number": "972-386-9646",
            "fax_number": "972-386-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "MICHEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4387T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Luisa Rendon Gade, OTD, OTR
• Quintrella Quinte' Gahagan, LPC INTERN
• Katie Ann Gallegos, FNP-C
• Megan Rutherford Gallman
• Gambino Eye Associates, Inc.
• Molly Gamboa, BCBA
• Felicia Brie Garcia, OTR
• Jacqueline Sara Garcia, M.S., SLP - INTERN
• Miranda Garcia, D.C.
• Laura Garison, LPC

• Optometrist in Addison, TX
• Providers in Addison, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.