| Dr Guillermo Gamboa, OD | |
|
10434 S Kedzie Ave, Chicago, IL 60655-2018 | |
| (773) 445-2700 | |
| (773) 445-2325 |
| Full Name | Dr Guillermo Gamboa |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 22 Years |
| Location | 10434 S Kedzie Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982897005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Illinois) | Primary |
| 152WS0006X | Optometrist - Sports Vision | (Illinois) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christina J. Levi O D P C. | 9436210762 | 56 |
| Provider Name | Rosin Optical Co Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235343641 PECOS PAC ID: 8022921758 Enrollment ID: O20031110000262 |
| Provider Name | Perez Eye Care, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336184217 PECOS PAC ID: 3678565579 Enrollment ID: O20040331001388 |
| Provider Name | Christina J. Levi O D P C. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477703411 PECOS PAC ID: 9436210762 Enrollment ID: O20081205000160 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Guillermo Gamboa, OD 10434 S Kedzie Ave, Chicago, IL 60655-2018 Ph: (773) 445-2700 | Dr Guillermo Gamboa, OD 10434 S Kedzie Ave, Chicago, IL 60655-2018 Ph: (773) 445-2700 |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 W. 87th Street, Suite D, Chicago, IL 60620 Phone: 773-496-5433 | |
Chander Vision Group Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320 | |
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199 | |
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175 | |
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309 | |
Dr. Thomas W Goska, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024 | |
Dr. James Gerard Roth, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176 |