| NPI | 1346628393 |
|---|---|
| Former Legal Business Name | DAVID B. GOMEZ OD |
| Entity Type | Organization |
| Authorized Contact | DAVID BRENT GOMEZ Doctor / Manager 304-256-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 926IOD) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |