LORRAINE GOMEZ (NPI# 1629396015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629396015 |
| Entity Type | Individual |
| Full Name | LORRAINE GOMEZ |
| Practice Address |
4201 Central Ave Ne #b2 Albuquerque NM 87105-1630 |
| Mailing Address |
10701 Montgomery Blvd Ne Suite L Albuquerque NM 87111-3816 |
| Practice Telephone | 5058364322 |
| Mailing Telephone | 5058280828 |
| Mailing Fax Number | 5058280848 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
4201 CENTRAL AVE NE #B2 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056186 | Marie Angela Archibeque | Technician/Technologist | 2910 San Mateo Blvd Ne Ste 6, Albuquerque, NM 87110-3187 | 2017-07-23 |
| 1548541204 | Roberta Jean Montoya I | Technician/Technologist | 3905 Isleta Blvd Sw, Albuquerque, NM 87105-6130 | 2011-09-07 |
| 1164505087 | Wal-mart Stores East, Lp | Technician/Technologist | 10224 Coors Byp Nw, Albuquerque, NM 87114-4398 | 2006-10-23 |
| 1114000452 | Wal-mart Stores East, Lp | Technician/Technologist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2006-10-23 |
| 1891883476 | Sam's Club Optical | Technician/Technologist | 1421 N. Renaissance Blvd. Ne, Albuquerque, NM 87101 | 2006-10-10 |
| 1982922670 | Gomez Eyewear, LLC | Technician/Technologist | 10701 Montgomery Blvd Ne, Suite L, Albuquerque, NM 87111-3816 | 2010-05-05 |
| 1588793269 | Rita J Graham | Technician/Technologist | 4306 Lomas Blvd Ne, Albuquerque, NM 87110-7751 | 2007-03-05 |
| 1104909456 | Wal-mart Stores East, Lp | Technician/Technologist | 3500 Coors Blvd Sw, Albuquerque, NM 87121-5274 | 2006-10-23 |
| 1720161292 | Walmart Stores East, Lp | Technician/Technologist | 8000 Academy Rd Ne, Albuquerque, NM 87111-1159 | 2006-10-20 |
| 1821180753 | Sam's Club Optical | Technician/Technologist | 300 Eubank Blvd Ne, Albuquerque, NM 87123-2755 | 2006-09-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on LORRAINE GOMEZ.
| 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.