DR. JAIME RENE GONZALEZ (NPI# 1083724322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083724322 |
| Entity Type | Individual |
| Full Name | DR. JAIME RENE GONZALEZ |
| Credential | O.D. |
| Practice Address |
2634 S Carrier Pkwy 101 Grand Prairie TX 75052-5070 |
| Mailing Address |
2634 S Carrier Pkwy Ste 101 Grand Prairie TX 75052-5005 |
| Practice Telephone | 9726410011 |
| Mailing Telephone | 9726410011 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6968T | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123388 | Jaime Alejandro Gonzalez | Specialist/Technologist | 302 E Hathaway Dr, San Antonio, TX 78209-6415 | 2020-04-26 |
| 1265060446 | Jaime Gonzalez | Licensed Vocational Nurse | 969 Warwick Rd, El Paso, TX 79907-3240 | 2020-04-01 |
| 1174008635 | Jaime Gonzalez | Behavior Technician | 304 Stonegate Cir, San Jose, CA 95110-3532 | 2018-10-01 |
| 1881904977 | Jaime Gonzalez Jr. | Counselor | 1366a Se Washington Blvd, Bartlesville, OK 74006-4519 | 2010-10-07 |
| 1215255492 | Jaime Luis Gonzalez | Social Worker | 51 Bo Palo Alto, Manati, PR 00674-6903 | 2010-05-12 |
| 1629249412 | Jaime Gonzalez | Dentist | 1516 Main St Ste 106a, Ramona, CA 92065-5242 | 2008-03-19 |
| 1356489900 | Jaime Leonardo Gonzalez | Chiropractor | 3100 N. O'connor Blvd., 110, Irving, TX 75062 | 2007-02-02 |
| 1437295060 | Jaime Rene Gonzalez | Dentist | 1022 E 9th St, Alamogordo, NM 88310 | 2007-01-30 |
| 1669443859 | Jaime Gonzalez | Chiropractor | 10110 Dixie Hwy, Louisville, KY 40272-3948 | 2006-01-27 |
| 1598281248 | Jaime Gonzalez Jr. | Physical Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2017-08-15 |
| Street Address |
2634 S CARRIER PKWY 101 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-5070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346621588 | Kendall Dean Stout | Optometrist | 2634 S Carrier Pkwy, Suite 101, Grand Prairie, TX 75052-5070 | 2015-06-12 |
| 1528454337 | Amber Watkins | Nurse Practitioner | 2634 S Carrier Pkwy, Ste 105, Grand Prairie, TX 75052-5070 | 2015-04-08 |
| 1346436193 | Dr. Michael K. Hammond, Pa | Optometrist | 2634 S Carrier Pkwy, Suite 101, Grand Prairie, TX 75052-5070 | 2007-09-14 |
| 1801954011 | Deanna Angela Hammond | Optometrist | 2634 S Carrier Pkwy, Suite 101, Grand Prairie, TX 75052-5070 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1932629987 | 20/20 Icare and Iwear, Pllc | Optometrist | 4116 S Carrier Pkwy Ste 120, Grand Prairie, TX 75052-3245 | 2017-06-21 |
| 1245666957 | Sunita N Sunesra | Optometrist | 2650 S State Highway 161, Grand Prairie, TX 75052 | 2013-09-25 |
| 1689013633 | David Alonso | Optometrist | 3050 W Camp Wisdom Rd, Suite 140, Grand Prairie, TX 75052-4642 | 2013-06-21 |
| 1538405790 | Grand Prairie Advanced Eyecare Inc | Optometrist | 5224 Tx South 360, Suite 200, Grand Prairie, TX 75052 | 2012-12-17 |
| 1326355629 | Vision Plaza | Optometrist | 5224 S Sh 360, 200, Grand Prairie, TX 75052 | 2010-09-08 |
| 1932386521 | Mychele Tran | Optometrist | 2615 W Pioneer Pkwy Ste 105, Grand Prairie, TX 75051-3602 | 2008-01-25 |
| 1861537615 | William J. Luck | Optometrist | 814 W Main St, Grand Prairie, TX 75050-5515 | 2007-02-20 |
| 1801936463 | Quang Duy Nguyen | Optometrist | 4620 Friars Ln, Grand Prairie, TX 75052-3609 | 2007-02-06 |
| 1487700381 | Anne K Webb | Optometrist | 2634 S Carrier Pkwy Ste 101, Grand Prairie, TX 75052-5005 | 2007-01-25 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
Please comment or provide details below to improve the information on DR. JAIME RENE GONZALEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.