Individual
DR. CONSUELO ELIZABETH CHAVEZ-GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7508 37TH AVE, JACKSON HEIGHTS, NY 11372-6538
(718) 476-1458
(718) 476-1462
Mailing address
7508 37TH AVE, JACKSON HEIGHTS, NY 11372-6538
(718) 476-1458
(718) 476-1462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT006194
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02042368
—
NY
01
—
3101581
UNITED HEALTHCARE
NY
01
—
52743
DAVIS
NY
01
—
922825
BLOCK
NY
01
—
NY6871
EYEMED
NY
01
—
OV27627
SPECTERA
NY
01
—
T006194
METROPLUS
NY
Enumeration date
11/16/2006
Last updated
03/01/2013
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