# MICHAEL A GOMEZ, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609176577
- **Authorized official:** DR. MICHAEL A GOMEZ O.D. (OPTOMETRIST/OWNER)
- **Authorized official phone:** (954) 471-6453

## Contact information

- **Practice address:** 1770 W 32ND PL, HIALEAH, FL 33012-4512
- **Practice address phone:** (305) 885-4477
- **Practice address fax:** (305) 885-2396
- **Mailing address:** 1447 NW 156TH AVE, PEMBROKE PINES, FL 33028-1665
- **Mailing address phone:** (954) 430-9564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 03/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103885400 | — | FL |