Individual
DR. EFREN ALEJANDRO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1703 CALUMET AVE, SUITE B, WHITING, IN 46394-1414
(219) 659-1105
(219) 659-4855
Mailing address
1703 CALUMET AVE, SUITE B, WHITING, IN 46394-1414
(219) 659-1105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201012650
—
IN
Enumeration date
07/29/2010
Last updated
06/22/2020
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